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Home My WebLink AboutBLDC-4-10-6086 Temp elect agreement .tif e U 6� AVO 12 11 Pin fVI/ Catawba County Building Services Division Q PO Box 389, Newton, NC 28658 Permit Center 828 - 465 -8399 Newton Fax 828 -465 -8962 Hickory Fax 828 - 322 -6814 f 4 ' SERVICE AGREEMENT TEMPORARY ELECTRICITY NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee. R Please list the total number of electrical meters to be installed on this projec — to — p L I� Q U G C/{ S /n u 6 l LC 1 A^G 5 ,4 BLD Job Title PIN# Bldg # Unit # s We do hereby release and agree to indemnify, save and hold harmless Catawba County and it's employees and Duke Power Company from any and all liability due to or arising from Catawba County causing the electrical service to the above - mentioned premises being disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to be occupied until a certificate of occupancy is issued. Any violation of the above will automatically void temporary service. The use of the system before final inspection is anticipated to be days or less. If utility connection remains in use beyond 30 days GC will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to operate the HVAC and to provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have been inspected and approved by the electrician and electrical inspector will be energized. Any 125v single -phase circuits temporarily energized for construction purposes will be ground fault interrupt protected, with the exception of lighting circuits in metal conduit. The building will be constantly supervised or will be securely locked when it is not supervised. The electrician, HVAC, and Plumbing contractors are ready for the systems to be energized as attested below. The responsible agent for the purpose of signing this form may be the general contractor or owner. The GC is responsible for Administrative fees unless otherwise arranged and agrees to set up a billing account with Catawba County Finance Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service official. (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.) I, hereby apply for temporary use of the permanent amp Q1 1 u electrical service to the structure identified above. I authorize Date of acknowlebg billing of all renewals, if required, to the following active Catawba County billing account number Official signature of Notary Owner r GC ignature 0 Notary's Printed or Typed Name (Official Sea]) Printed Name V - R Title - � w-} P 9- My commission expires: As electrical contractor, I hereby certify that the electrical system ( ) is ready ( ) is not ready to be energized. Branch circu }ts w,ill be Date of acknowledgment energized as stated above. b ,��/� "�✓� Official signature of Notary Electrical Contractor Signature J`r Notary's Printed or Typed Name Printed Name Title (Official Seal) My commission expires: As HVAC contractor I hereby certify that the VAC equipme t Date of acknowledgment ( ) is ready ( ) is not ready to be place in servi e I am aware that the electrical systems will be acti ate as s �ed o Official signature of Notary Mechanical Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seal) My commission expires: As plumbing contractor I hereby certify that the Plumbing equip. ( ) is ready ( ) is not ready to be placce. I am aware Date of acknowledgment e ' that the electrical systems will be act' ted as stated ove. Official signature of Notary Plumbing Contractor Signature r Notary's Printed or Typed Name Printed Name itle (Official Seal) My commission expires: MAY -26 -2010 WED 06:05 PM MCMILLON ELECTRIC CO,INC FAX NO. 18287584930 P. 02 05 26 - •'18 16;21 FROM - Huntley & Si9mm 18287541925 T -878. P0811081 F -159 -,.� ••Mwrrry OMI OfflV owlem alftlon Ao sou sm N owft, Nc" Pam *C r r+ dt 4 US415410 NwRon Noe.. o A', 4"Zeeu 40tVN2 A1' NO7ya rMw p the �awowr� N.�eMr. �.� a a..p�nM tr, MGM eNe1tleou once w be lelrr a da � W* 49 hw . eed ell dge q 1wN h�mbw cub� c�q► �4 � � �d Dwa Pair SWIM" +Nw �rwd m c Cgo4gt aaa =Rh eiwNed w�dOe le the wNo>N4dpNMrr ooagPNd gndl �tlAer ay N hwd, eoaoRb[ioo oil & brg1NIR b w f11t ew KRN ylr�l bo�Otloa or1111 sib IWO del�r vgl�t Y N1Me1, oC wm be 000segh a �-� drg� Ip� 1f v�1lY ovmeoNoN Mort late twad l! phi fbr dt, b �' 1N' tN. T1� p�o�gr ub et q j, a Al WA to ceto*telieoo dlROn Rteloh gadide di�ere will be aar eMeerlrl tet ydq w ' W11 o otite, R�►�+ Ibr voe,w,Mdut � ar AN wlte pMt�r�ed'a�gt� pr �ia� e>►e�lwd M Nia4 bar. 00 da oftm r be " sim wft P UPW of 14ft ob hm ow Pa go PM1 umm r e*teor. !bI qC N rwp rowi � � ■�heII141MIMN1a are�� wll M1M1 a IM 11� 11 �aNMf wltlo CMN�� p� �� ', ortewleay tf a.d�, Tp gNllel' MMttMaeM IiN� w� �MUgCearl� uawn,1 m lows MUM VlUa $VMA074MCPMf§Aem4krvwor t• b�o►eoPb► �S►�tw olti.�rtt�t . eNateiat a 4o i wwaloh Ide000t�d oil 4L I +o i DAM o IdpuaMt MNt.frl r t ll"pbAls c�aoww ll�rtatt � owr�rKo� er `� s�tM ilh� �, oanoaltao� wee; ff�� aunI vlll6e ` Ipd eli ti I�Mottow e w e s�. e! q ag w AN HVAC =NOW l bm* #A tY NVAC awo tlmllit fbw w NIR bo eotlYned u> �brva �* $ a y Waft 11Re16ee11e1 lleotlr M 7reln� M 'Ll tAi�Mol ` � Ps i baeb�► e�►yMt>ste t agNb t 3 mob► [ l rs �c weoi� a be pleoee WvkL l m � M o ox e ab�lwl will be aadmeted ■ ibdod dwig tom► MNteMeieowgeetet�oretp�t+e,._ low's w wiw t'rt� Iri■e 'lNge watt 10/10 'd 06099LE81 'ON XVA 0NI '00 0I1LOT3 N0111= Rd 6I -M aM 010 ? - 8Z i MAY-26-2010 WED 04:02 PM MCMILLON ELECTRIC CO,INC FAX NO, 18287584930 P. 02 8223226814 CATAWm cc PACE 51/01 Catawba County Building SOrvien Division PO BOx 389, Nemaon, NO Raeft Pormit Center 8264N399 NoMan HlckoryFax 628-322-"14 SERVICE *GRIMMTNT TXMpO XLZCTR1CM Em ch A"FMO meter to be connected Is coraldered a sop2mgv Pleeft list the I num of olectries moftrs to be MOW slid subject to m $cpapsto %a, d an this pr*jecl BLI) job Title AN Pwo U We do hereby MOM and 4gm to 1 fld 0 mr 1 *, gave and hold h*mic C01 "WY from my and all liability due to or er from C Cm ss Catawba Co unty And Ifs 601playm and Duke powe being diSCORNowd, Tempormy SoMoe MV effia the *100 MCal service to tho above premises IS issued solely a a co OCCL und a C ftflcOft Of OCCUlmucy Is kmd, Any viol for the wn*ft Of cons0tiodon and the building is not to b dion of the above will autDmatiWl Vo ld lempomy mroce. The Use ofthe syftm beforc fm&l iWaction if anticipated to be d4ys or less. Tewlity connection remeins in age beyond 30 dm OC VWII be billed Monthly Per County Fee ftboclulo. The tump p mVide "Sht f*r th " cor MltdOn Of the finish work, orary'us@ of the ' rydem 13 noces saty to operate the HVAC and to Only those L*euiM that M necessary andVor have be= iNslIttlad and approved by he elwAticilm and eleetrical 103poctor will be energize& Any 125y single-phase Oi Y d will be ground ftlt InwMT pr W A t h e oxcepda tamporaril en"V;'.4 for WnfitruC�on pUrp or vvill be socumly lo w it i not supeMsed. n of ll c ftulb in MOW cmduit, no building will be ccmm=ly su arvised 0MV9Zd U attextod below. The 610 dricim. HVAC, and Plumbing cmmact r p The responsible spot fbr the pbirpose of 3iping am ready fo the Symms to be thh form ms y be 'h 9 C Or owner. The Cc is r for AdMiftistrative fen unless, otherwiso %rrao9W and ogrm to set up a billi account Wfth C@jsWbs County Finance Departnitot f veme o f aiir#smft if a , The Glectriftl contractor shWl toordfouto this 1 0 3 POCtION with building seryloo ofrmial. (A Co"NVrn TE "M SMQ1 III nMMMM BY CLEMICAL COMMACTO AT TVA op 90W FCAtb hemby apply for tomporary use of the pmans"t p .1)ULLD 176MMON.) ly r* E:W.017owledgmailt -cal 7 'of 'r all "'M olocuical service to the Meture Identiflod above. I — mothoirin e Doe of i� �uwledg�nent billin Of Oil rmewalsl If required to the fall Ing a I C al ipatull of Catawba County billing accuumt ambeir 0 official gnature ofxotw - L> Owner or GC Sigbature Nhted or s NOtay's Printed or Typed Nsm Notted Name my commission expim: As alewleal conna I h ere b y corUf that cat systm the 0�6 Li ready IS not ready to be energize ac W e t energlzrd as stated above. officiddl Ip re Notalry's nted or d Name e Printed No r4 my commission 2M]12�: 34 - 1(p - t 71 As HVAC contramt I hereby ourtify the the HYAC equipment - i ( ) Is m ( ) is not ready to be placed in mervice. I am Na — WAMOWledgmant 7A I con 8 eloov I ea ) ady ergild as stad awar dmt 60 tiGettical systems will be activated as stwl ab Official signUm of Notary Mechanical Contractor Sips Nobuy's Nnead or Typed Noma Printed NA Itle ��'Qwn4 my commission =bh=- As, Plumbing cantractor I hereby cen" that the bitig equip. ( )Isinotready Tobeplacedinservic larnamn Date of ad Ow the cicaWcW systcyns win bo activoled as 94ad ve. Qfficial signZure orNotary Plumbing Contractor Signatmre— Wolary's Printed or Typed Nwne Title (Official Soul)