HomeMy WebLinkAboutBLD2007-00224 TEMP ELEC.TIF,
�10 av 09 07 05:30p Alliance Appraisal Group 7048982645 p.l
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Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Permit Center 828 -465 -8399 Plan Review 828 - 466 -5130
Nemton 828 -465 -6375 Hickory 828 - 322 - 6814
SERVIC-E- ►GREEKMT TEMPO RY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total wmbie to-bc instailed-err this V . oject
PerraitM w Titlt: ,���t��sl/�II ,D�r�K•fs�il� I�1V# Jo J.Lzs� .81�
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 - t o or arising from Catawba County causingthe 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 Issued. Any vioiadAm of the above avill autematically void temporary service.
The use of the system before final inspection is anticipated to btC__ days or less. If utility connection remains in use bcyond 30 days
general contractor will be bifted monthly per County Fee Schedule. The temporary use of the system is necessary to operate the HVAC
and to provide lighting fob� the completion of the finish work. Only those circuits that are necessary and/or have been inspected and
approved by the electrici" and -electrical h apector -rill be energized - Any 125v sir& -phase circuits temporarily energized fot
construction purposcs will be ground fault interrupt prat uted, 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
contractors are ready for the systems to be energized as attested below.
The responsible agent fer lotaeafsgsirt61iI&1arm"stay be tlbte gMn 0 l rnrtrsetorvr uwrter.Tbe General Cen&acWr is
responsible for, Administnlire fns ottkis otber wise arranged and agrees W set up a billing account with Catawba County
F mane Department for i6nevraiafAgrAsmeat,. - vended. 72meloctr4esl contractor shag coombpate tbis impmtion wU44ndiding
service of iclal. (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF
SCHEDULED INSPECTION•) ` l
--- --- -- -- -- - ---- ---- - ---- - -` �� - •as f _ ? ^!'----------------------------------------------------
1prGo4K 4 1.LC hereby apply for temporary use of the permanent Ln. electncal service
{ farm) (Size of service)
to the structure located at /G 7� Sa.,,/,l [✓tsII 1.1 A.4-, * Zk6
(Address of site) (Building number) (Unit number)
I authorize billing of all afs, itmuired. tothe following active Catawba County billing account number
.a_._ ,,7 —
nerlGenera! Contractor signature / Date Permit Specialist or Notary
Please Print Name ,Ja..s .) /�� •J'� Title
-------------------------- - - - - -- -------------------------------- --- - - - - -- -------------- -------------------- -------------------
As ectncal contractor 1 hereby certify that the building at & m 5 6 J ax—
( Vis rely, ( ) is not rea2l lobe energized" Brutch circuits will be energized as staled above.
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'Contractor signature Bate Permit Specialist or Notary
Please Print Namc ' rn .r t� Title
As HVAC contractor I hereby certify that the HVAC equipment installed at
i rea y ( ) is t ready -tube placed inservim. i amaware thatthc electrical systems will be activated as stated above.
/ /
HVAC Contractor sigtmture Date Permit SPeewist or Netary
Please Print Name Title PfFS,
----------------- — -------------- --------- _..—....—._ ----.— ----- — ------------- — ----- ---- ---------------------- — --------------------------
....
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As plumbing contractor I hereby certify that the Plumbingequiprnent installed at \�
(�)
I) 7w to to placed in service. f am aware the et c tsystems wM activated as stated above -
Pill bing Contractor signature Date Permit Specialist or Notary
Please Print Name �`��� F �\`c �S\y os� c 1 T it) e
1 July 2004
,f4rt�
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