HomeMy WebLinkAboutB3-1759 TEMP ELEC APPL.PDFCatawba County Building Services
PO Box 389, Newton, NC 28658
Telephone # 828-465-8399
Plan Review # 828-466-5130
Newton Fax # 828-465-8375
Hickory Fax # 828-322-6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
1, ��// ...do hereby apply for temporary use of the permanent 1-060electrical service
(Name) (Size of service)
to the structure located
(Address of site) (Building number) (Unit number)
<NOTE: Each separate meter to be energized is considered a separate request and subject to a separate fee>
We do hereby release and agree to indemnify, save and hold harmless Catawba County and it's employees and Duke Power Compan
remises bein
disconnected, Temporary service is issued solely as a courtesy for the completion of construction and the building is not to b
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—Z10— days or less. If utility connection remains in use beyond 31
days general contractor will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to operate th
HVAC and to provide lighting for the completion of the finish work, Only those circuits that are necessary and/or have bee
inspected and approved by the electrician and electrical inspector will be energized. Any 125v single-phase circuits temporaril
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 Plumbinj
contractors are ready for the systems to be energized as attested below.
T k Title /9 0 N Please Print Name
Owner/General Contractor
The responsible agent for the purpose of signing this form may be the general contractor or owner. 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.)
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As ctrical contractor I hereby certify that the building at
(c is ready is not ready to be energized. Branch circuits will be eperg
Electrical Contractor
Z
Please Print Name,_ '`_ �► Title ry\ 0 V-\
as -stated ve,
Witness / Notary
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As HVAC contractor I hereby certify that the HVAC equipment installed at f't if
'Aellls read i's not read t be placed in ser 'cc, I am aware that the electrical systems will be activated as stated above,
HVAC Con, ctor Witness �/Notary
Please Print Na
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As ply mbing contractor I hereby certify that the Plumbing equipment installed tv N
i
r d laced in service. I am aware that the electrical systems will be acti ated as stated above.,
Plumbing itn ess / Notary
Pleas Print.
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This agreement is in effect until: Fee $_.
GENERAL CONTRACTOR IS RESPONSIBLE FOR ADMINISTRATIVE FEES UNLESS OTHERWISE ARRANGED.
PIN # PERMIT #
— Hood System Smoke Duct Detector System Fire Alarm System
15 March 2004