HomeMy WebLinkAbout30 DAY TEMPORARY POWER RELEASEP1ahr4jjg,& Develop,ment seirvices
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Date:
Property A7dr'Lss, L33J(,. Permit Number.
SCANNED
C
ANNED
13Y
St. Lucie COUntV
THE UNDERSIGNED HEREBY RMUE'STAE
FORAPERIOD NOT TO - -3 V
EXCEED THIRTY 'POWER TO THE'AaOVE DES
IN PREPARATION FORF -46) DAA FOR THs pURV - I CRISED:p ERTY,
INAL INSPECTION I I 04EOFtESTING' Rop . ,
ACKNOWLE E AND AGREE AS Fo '. SYSTEMSAND-Equio' TS
FOLLOW OX'OFAPPROVAL OF THE REQUtS-r " 1141il
We HEREBY
I. This temporary pOWer release,
DtcuPancy of any.typ Isrequested fOrtheabove
state'par poss only�,and thsra
Z As witness by Or Sig r�nkted t�,Co6strticfj wni be too
on during this-tIrne-P
P rj6d,
including Building Division poitry! whkh'js 81110 abldq'by aolterrns andz6nditloni of thisa re
3- All conditions and. raq(jire - � I '*Corooestod herdIn by rare
. #16ntv'r Vance.,
Polver for test, � isted lh the attached dotvm I
nehavabee,nA,,ftedan, ant'diltitIecl"Requirements 4- All ceQuests farad extensionthe- for 30 Day
I Prennts"s ready fOrCOMP44ncer ins pec
there for the re4 tion.
UestPower the Final Inspection h asitie and/or a stop w
StOP Work Order. no, wahlo 3o days- A fee o�,
*111 be *ulred to lift -th-6
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, "ST
LIABILITIES AND CLAIMS OF ANY TyPE4FNAT*,W LULIE-COUNTY; AND THEIR E
TRANSACTION, INCLUDING Ally DAlviAGE HICH MAY ARjSE MPLOYEEt FROM ALL
`NOWOR IN THE FUTVRE,OUT OF THIS
ELECTRICALPOWER WHICH W* 415 INCURRED I ,, : ,
-R.%TkitENT0FVj- - DUE, 70 THE DISCON'Itai,014
OWN R 516
D Te
GENERAL,'
NTRACTOR SIGNATURE rI 2-
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