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Request for 30-Day. Temporary: Power Release
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VED a, PermILLUrn_
SCABNyNEU
St. Lucie COO)
Date: go Peanit Number �16 7— 008
Project Address: da SPrGiNS r;rc\e S `r*P FI ln� 34
THE UNDERSIGNED HEREBY. REQUEST RELEASff O'ELECTRICAL POWER TO THE i4BOVE'DESCRI B®
PROPERTY, .FOR A PERIOD NOT TO EXC D TH1lM,(30) DAYS.- FOR THE PURPOSE OF TESTING SYSTEMS
AND EQUIPMENT IN PREPARATION FOR A FINAL INSPECTION:.IN CONSIDERATION OF APPROVAL OF THE
.REQUEST.WE HEREBY ACIWOWLEDGE AND AGREE A$ FOLLQWS:-
1. This temporary power release is request
occripancy of any type, oche [ than that l
2. As witness by our signaturm , we_he"
including .Bullding Division PaOcy, whidi
3. Ail conditions and requlrennenes 1101ed In
Power for Testing";have: been fulfljw ar
4.. ADreque3ls.foraheidenslonbeyiond36
the reason for the.eequeZ 'Pow[er ir*
the Final Inspection has dot been appip
the Stop Work Order.
purpose only, and there will be no
n during this time period.
rms and conditions of this agreement,
for 30 Day
made in writing tip the Building Offidal stating
nm the site and/or a Stop Work Order issued If
days. A fee.of $10oxo will be required to lift
WE HEREBY RELEASE AND AGREE TO HOLD HARMLESS, ST. LUCIE COUNTY, AND THEIR EMPLOYEES FROM
ALL LIABILITIES AND CW4IMS OF ANY 1YOROR NATURE WHICH. MAY ARISE NOW OR IN THE FUTURE OUT
OF THIS TRANSACTION, INCLUDING ANY DAMAGE WHICH MAY BE INCURRED. DUE TO THE
DISCONNECTION OF ELECTRICAL POWER IN THE EVENT OF VIOLATION OF THIS AGREEMENT.
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