HomeMy WebLinkAboutB4-915 TEMP ELEC APPL.PDFCatawba County Building Services Division
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
rTp,�VRVICE AGREEMENT TEMPORARY ELECTRICITY
Afflelectrical ser�,ic
1,(L_6Li� CU do hereby apply for temporary use of the permanent D-1 I :
(Name) (Size of service)
to the structure located at �"I_A 32 �1 i _ ---
(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 Cornpa
from any and all liability due to or arising from Catawba County causing the electrical service to the above -mentioned premises bei
disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to
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�0 days or less. If utility connection remains in use beyond
days general contractor will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to operate t
HVAC and to provide lighting for the completion of the finish work. Only those circuits that are necessary and/or have be
inspected and approved by the electrician and electrical inspector will be energized. Any 125v single-phase circuits temporar
eue�izecl for cons u ion put ob ill i es N�and fault interrupt protected, with the exception of lighting circuits in metal conduit.
1 egro
/ e 1-1
The building will be constantly pervise or will be securely locked when it is not supervised. The electrician, HVAC, and Plumbi
contrators are ready for he systems to be energized as attested belol.
Please Print N Title
Name
Owner/Gener, ontractor
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 electrical contractor I hereby certify that the building at
)is rea y i� not rFany to be energize�l_ Branch cifruits will be energized as stated above.
Witness Notary
G.
Electrical Contractor
C
Please Print Name l- Title
------------- ------------ ----------------------------------------------------------------------------- -----------------
As 11VAC contractor I hereby certify that the HVAC equipment installed at
(0 is ready is not read to be placed in service. I am aware that the electrical systems will be activated as stated above.
HVAC Contractor Witness / Notary
Please Print Name6l,ca 4L4_kn �rl J C. Title i C t M t
------------------ - ------------------------------------------------------------------------------------------------------------------------------------------
As p1um bing contractor I hereby certify that the Plumbing equipment installed at
is rea y is or ready to be placed i service. I am aware that the electrical systems will be, activate as stated above.
ir 0 r �4
Plumbing �C�ontrq or Witness t Notary
Please Print Name
11 , I — a, Title ----------- ---------- � _111� ----------- ---- 4 --------------------------------------------------------------------------------------------
This agreement is in effect until: C, Fee$
GENERAL CONTRACTOR IS RESPONSIBLE FOR ADMINISTRATIVE FEES UNLESS OTHERWISE ARRANGED.
N=
I food System
15 March 2004
PERMIT #
— Smoke Duct Detector System — Fire Alarm System