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Building & Code Regulation Division
2300 Virginia Ave
Fort Pierce, FL 34982
772-452-2165 FaX 772-462-6443
Request for 30-Day Temporary Power Release
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T•ME UNDRSYERSIGNED HEREBY REQUEST RELEASE OF ELECTRICAL POWER T07K ABOVE DESt +�'D- S1. Lucie L'ounry
�ROPET MR A PLRIOO NOT TO EYXM THIRTY (M DAYS, FOR THE PURPOSE OF TESTING SYS1 S
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION. IN CONSIDERATION 05, APPROVAL OF THE
:tEgJM etc HEREBY AOINCWLEDGE AND AGREE AS FOLLOWS: RECEIVED
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tVE HEREBY RELEASE ANO AGREE TO HOLD HARMLESS, ST. tuaE CDt1Nn", AND THEIR EMPLOYES M M
ACL LIABP'ITES AND OLA215 OF ANY TYPE OF NATURE WHICH MAY ARISE NOW OR IN THE FJTU`ZE OUT
OF TMS-RANSACiON, INCLVOING ANY DAMAGE WH101.MAY Be tNC.'.RRED MR TO THE
DISCONNECTION OF ELECTRICAL PO'&k IN THE EVENT OF VIOLATION OF -MS AGREEMENT'.
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