HomeMy WebLinkAboutBLD2007-00411 TEMP POWER AGREEMENT.TIFCatawba County Building Services Division
�� 71 PO Box 389, Newton, NC 28658
Permit Center 828- 465 -8399 Newton Fax 828 - 465 -8962 Hickory Fax 828 - 322 -6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NO'T'E: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Please list the total number of electrical meters to be installed on this projecl_,t
BLD z(HO1-aQ4 J I Job Title A e PING N,51_0 53� a 6'�gid M unit k 1
Lckurel� Y 5 �Rc�0 eleuo_ lecscorl p'yx�(�J
We do hereby release and agree to indemnify, save and hold harmless mwba County and its employees and Duk ver
Company Gom 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 nut to be
occupied Land 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 Freund
30 days GC will be billed monthly per County Pee 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 t25v single -phase circuits temporarily energized for construction purposes
will be ground fault interrupt protected, with the exception of lighting circuits in mewl 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 for the purpose of signing this form may be the general contractor or owner. The GC is responsible
for Administrative fees unless otherwise arranged and agrees to set up a billing account with Catawba County Finance
Department for renewal of agreement, if needed. The electrical contractor shall coordinate this inspection with building service
official. to CONTINUITY TESTER SHALL BE FURNISHED BY ELEC'f1HCAI, CONTRACTOR AT TIME OF SCHEDULED INSPECTION.)
L hereby apply for temporary use of the permanent 00 amp
clectrcal service to the structure identified above. I authorize
Date of acknowlcddnent
billing of all renewals, if required, to the following active
Catawba County billing accou t num er
Official signature of Notary
Owner or GC Signature
Notary's Printed or Typed Name
Printed Name an ddl {L� Title "'r , l
My commission expires:
(Official Sea])
As electrical contractor, I hereby certify that the electrical system
—
( ) Is ready ( ) is not ready to be energized- Branch circuits will be
Date of acknowledgment
energized as stated above.
Official signature of Notary
Electrical Contractor Signatu r/(
-
Notary's Printed or'Typed Name
Printed Nam IJacrc1l tl 511 1qritle 1 ;Ed- f'-
(Official Seat)
My
commission expires:
As FIVAC contractor I hereby certify that the HVAC equipment
(mss ready ( ) is not ready tube placed in service. lam
Date of acknowledgment
aware that the electrical systems will be activated as stated above-
—
Official signature of Notary
,r��
Mechanical Contractor Signature
Notary's Printed or Typed Neme
-/�
Printed Name d� � 0 // ✓ Title /1'/ &.
(Official Sea])
T
M commission expires
As plumbing contractor I hereby certify that the Plumbing equip.
Date of acknowledgment
is ready ( ) is not ready to be placed in service. I am aware
that the electrical systems will be actr a as stated above
Official signature of Notary
Plumbing Contractor Signature
/��
Notary's Panted or Typed Name
Printed Nam gpabi N �a Titlep fZ I1
(Official Seat)
My commission expires