HomeMy WebLinkAboutBLD2008-00332 TEMP POWER AGREEMENT.TIFCatawba County Building Services Division
r PO Box 389, Newton, NC 28658
Permit Center 828 -465 -8399 Newton Fax 828 -465 -8375 Hickory Fax 828- 322 -6814
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SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total number of electrical meters to be installed on this project
BLD zoo — 0033 Job Title � t t+rn an PIN# Bldg # Unit #
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 w a courtesy for the completion of construction and the building is not to be
occupied until a certificate ofoccupancy is issued. Any violation ofthe above will automatically void temporary service.
The use ofthe system before final inspection is anticipated to be__l_4L 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 HNAC and to
provide lighting for the completion ofthe finish work. Only those circuits that are necessary and/or have been inspected and approved by
the electrician and electrical inspector will be energised. Any 125Y 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 comments 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 CC is responsible
for Administrative fees unless otherwise arranged and agrees to set up a bitting account with Catawba County Finance
Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service
Official. (A CONTINIrITY TESTER SHALL BR FIIIINISHED BY ELECTRICAL CTAYfMA M AT TIME OFSCHEDULED INSPECTION.)
I, hereby apply for temporary use ofthe permanent OQ amp
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electrical service to the structure identified above. 1 authorize
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billing of all renewals, if required, to the following active
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Catawba County billing account number
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Owner or GC Signature 2
Notary's�ted or Typed Name
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As electrical contractor, I hereby certify that the electrical system
( is ready ( ) is not ready to be energized. Branch circuits will be
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energized as stated above.
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As HVAC contractor C eq
actor I hereby certify that the HVAuipment
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is ready ( ) is not r to be placed in service. I am
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aware that the electricals stems will be activated as stated above
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Mechanical Contractor Si natur
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As plumbing contractor I hereby certify that the Plumbing equip.
(� is ready ( ) is not ready to be placed in service. I am aware
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that the electrical systems will activated st v
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Plumbing Contractor Signature
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