HomeMy WebLinkAboutB1103-59 TEMP ELEC-HEAT APPL.PDF08/lB/2 p4 222 a3 7048724643 HARKEY ELECTRIC INC PAGE 01
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()ivislon
01-466- 399
8284W-5130
'#n NeWtOoFax 7 A -CV._
six If 7
by ply fit' temporary use of the permanent
nl txictal scr� acc
(size, of se -Nice)
le t F i
('(brat n bcr)
to the structure dt at lda ttta r)
g�A s o itel considered or to ast Wool t� separate t
is ex 0ba County toolit`s employees and Duke Power company
mabove-mentioned � is bete,
We
do hereby releasea a to era from ca be
nary *ad all liabality.11
tp to or . is d frorra Catawea ba ours cesy ausing g ththe cc to l dssa of constructiontha the sxitdaraf, as rater to
hour icctrn te& TeMPOMY servim it
is issued Any Viofatittn Of the above will stno tically •
o4rl° vd�.e,
craps until a cartiticsoc of c y crothadjear ouignm in use n 3
on i antict s t la* days or 1 if ttrility
The oft yst n� f a to unty pee h 1 . he temporary use of the system
is racr�s an to operate t
generaldays he
will billed monthly es e and/or h
y those circuits that a 7
s to roe+► t li tit, for the Completion 'otr ofave rise"
energized. any 1 5V single-phase circuits turrapo ly
HVAC the al trician a i l ins for will tax
inspected s o' la?` pll i � 't e oa tioort o lighting circuits in tot ndaait,
coagi for constrixtion purposes,
The arilrtd will t
i
willSeemly when it is
rant sea coin. 1`l� electrician,
c si as titB
ctractts a^cs�e f yet a
Ifor or o r, F I
i r tt for
Owner ral o actos _feudW fIr"Postalb n t (Or of BE
t n as i o t .) t� f a._m....._
ELECTRICAL T .. r
_s._. at
s ccicai t y L .. v
( is r } c t y to is A Branchcircuits `il c i ,
Electrical
4cao print Nav
above.
E � is ready( ) is fl,rit r to be, placed in srv° .. t asrn t twloctricak yst� milt
l�tttary
,4 tra Iit1e ....... ___.....w_
Please print l4a .. __@w..m.._.......___am..e_m__--- __.s._m...�
______ _______ma.
ti,s plumbingcontractor c ccrttfy that t P bind equipment thattalleelectricalsasystems will be, activated as stated above-
} es ressly ) is not re sty an t
wit ss t C3otary
trio ns Title
please....__ _ ..4-__.e.. a__ . F_.o..._.._..w_._._Q.v___-...._ w_....__Ta..___-..m __a4e.. ........ ........__.
This agreement is era effect saotil LaADMINISTRATIVEL, t y ARRANGED.
GENERALCONTRACTORis
e PERMi°r #
.
f — ..
lined System smoke t DetecW System _Fire ire Alarm System
15 March 2004
Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Telephone• 8y • i • f.
Plan Review # 828-466-5130
Newton Fax # 828-465-8375
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ponsible agent i purpose of si*ning this form may OF :::. 1
coordinateshall #µ #building
readyELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.),
------------------------------
A�s 4etrical contractor I hereby certify that the building at ergized as stated above.
is to be energized. ..
Electrical Contractor
lease Print Name itle
As HVAC contractor I hereby c rtify that the HVAC equipment installed at
( } is ready ( } is not r d to be placed in service. I am aware that the electrical systems will be activated as stated abo
AC C tra Witness 1 Notary
Please Print Na Title
--_-_-____,.____-_-o®___________________________________________®_______-_®__a
As plumbing contractor I hereby certify that the Plumbing equipment installed at
( } is ready ( } is not re dy to be placed in service. I am aware that the electrical systems will be activated as stated abovf
Plumbing on ac Witness / Notary
Please Print Nam Title
__________®__.____a___-®___®®__________®________________________a-___--_--__®_____9
This agreement is in effect until: Pee
$—
GENERAL CONTRACTOR IS RESPONSIBLE FOR ADMINISTRATIVE FEES UNLESS OTHERWISE A NG1
l PIN # PE IT #I
— Hood System __._ Smoke Duct Detector System — Fire Alarm System