HomeMy WebLinkAboutREQUEST FOR TEMP POWER RELEASEPlanning & Development Services
Building & Code Regulation Division
2300 Virginia Ave SCANNEL,
Fort Pierce, FL 34982 BY
772-462-2165 Fax 772-462-6443 St Lucie Count,
Request -for 30-Day Temporary Power Release
Date; PermitNuml.er_. 13y1-C�`IlS
Project Address: �hL 7ua.0a,r.G <�eavics `-RA-aA.._N,L��lyy")
the
the
quest: Powermay
has not been appro
within 30 days. A
for NZay
WE HEREBY RELEASE AND AGREE TO HOLD, HARMLESS,, ST. LUCIE COUNTY, AND THEIR EMPLOYEESFROM
ALL LIABILITIES AND CLAIMS QRANYTYPE OF NATURE WHICKMAY 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 VIOL4fION OE THIS AGREEMENT.
'o/S
RECEIVED NOV 06 2915