HomeMy WebLinkAboutELE2006-000863 TEMP POWER AGREEMENT.TIF116p�6 - kG=S
Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Permit Center 828- 465 -8399 Plan Review 828- 466 -5130
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 seeppaarrate request and subject to a separate fee.
Pe&P cC E c c '7S 7 Job Title N` Q Aal ![l r �w � PIN#
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 general contractor 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 act 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, GENERAL
CONTRACTOR IS RESPONSIBLE FOR ADMINISTRATIVE FEES UNLESS OTHERWISE ARRANGED. 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, � do hereby apply far temporary use of --- mane electrical service
(Name) (Size of service)
to the structure located at KISis, HoH+ei Srf2fi OZ
(Address of site) (Building number) (Unit number)
I authorize bill' 7 1 all renewals, if required, to the following active Catawba County billing account number r _ .
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Owner /General Contract /( or sigma i Date Permit Specialist or Notary
Please Print Name /2Cb e 1 J_ I Ar$WC(t T/L Tide Pf `Orr
As electrical contractor I hereby certify that the building at
(mss ready.. (' -.) is�not ready �. to a energized. Branch circuits will be a rgized as stated above.
Electrical Contractor signature Dat Permit Speciaist Notary
Please Print Name # 5 1 1 t,L� Title O rM h P .'
As HVAC gnuactor I hereby certify hat the HVAC equipment installed at
T ( . ) is re is no ady o, a pla in ice. I pm aware at the electrical systems will beiSCgva d as Slated above.
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VAC Contractor signature Date Permit Specialist or Notary
Please Print Name Tile
As plumbing contractor I hereby certify that the Plumbing equipment installed at
not rea to be plac m am aware I a aware that the electrical systems will be eti va ed vs ^tate
Plumbing Contractor si tma Date ermit Special at or Notary
Please Print Name P4 i20 fFb' yN Title .i1 C/'Ph 7KCOSr�✓r°/
1 July 2004
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