HomeMy WebLinkAboutBLD2007-00711 TEMP ELEC APPL.TIFV0iVOiaVV1 VU:ZL V && 1u4bb3U1U3 HERPrAGE HOMES d 001
08/03/2007 12:26 8263226814 CATAWBA CO PAGE 01/01
_ Catawba County Building Services Division
z - PO Box 389, Newton, NC 28658
.� Permit Center 828.465 -8399 Plan Review 828- 466 -6130 L �
\ _ � Newton Fax 828 - 465 $9(O2 Hickory Fax 828. 322 -6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be connected is considered a separate request and subject to a separate fee.
Permit# of a 7 - 00 7 1(_ Job Title P_A2A MW^2r t-,oRe3 e.; ---;Z9 PIN#
We do hereby release and agree to indemnify, save and hold harmless Catawba County and it's er!!i Ilvyees and Duke Power Company
frcm any and all liability due to or arising from Catawba County causing the electrical service to th "e above-mentioned premises being
disconnected. Temporary service is issued solely as a courtesy for the completion of construe4ort and the building is not to be
occupied until a certificate of occupancy is issued. Any violation of the above will automatically vo }d 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
clays general contractor will be billed monthly per County Fee Schedule. The temporary use of the Iystem 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 125vl single -phase nircuits 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 not supervised. Thel,electrician, HVAC, and Plumbing
contractors are ready for the systems to be energized as attested below.
The responsible agent for the pttirpose of signing this form may be the general cootraetor or owner. GENERAL
CONTRACTOR IS RESPONSMLE FOR ADMIMSTRATIV)E MFS UNLESS OTHERWISE ARRANGED. The electrical
contractor shall coordinate this inspection with buRding service offielal. (A CONTINUITY TE §TER SRA.LL BE
FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCMDUI,.11:A INSPECTION)
MA O-Y, r'i;4t,((,1 0 " "_ _____________� -
T, MA do hereby apply for temporary use of the permanent 7ZWA4o electrical service
(Name) (Size of service)
to the structure located at ��67 2 Df_ LANE C2 5lQ4.LUS mod_ e�L '�� L
(Address of site) �— (Building number)
I authorize bigb of all renewals, if required, to the following active Catawba County billing account number i; ° V 17 'U.
Owncr /Gene Con •actor slgiwu Date i it S p ial c Notary
PlclscPrint Name — 0, V_ 5. tAycbet^/8Cit A -X Title �• P- r (I
------------------------- -....... ... — ...... . .......... - - -- -......................... ------------------------ ---= ...........................
. �F
As electrical contractor I herebyce that the'building at __
( ready d ( ) is noready if
'�- o be energized. Branch circuits yvill be energized as stated abo '���'
/d G L tc
F.lecrricai Contractor signature f Date ermi p ialist or ' �'
ou
Please Print Name
Q e Title O U J Xr �U
As HVAC contractor I ltereby that the HVAC equipment installed at
( ) is ready ( ) .is n t ready to be placer) in service. I am ware that the electrical systems will 'ya as t b e.
/0 -S -o7
�C Co tra or signatu c Date P t S i or Notar
Please .Print Name
Tide � � / ;o y
As plumbing c 4 so hereby certify that the Plumbing equipment Installed' at L Q� .' Z7 tyramOWw; .1 Kiicr
( 1 i eady eady to be place d in service. I am a era that the cal systems will be activated ass edove.
P umbing Contractor signature Date Permit Spcg or Notary
Please Print Name L2, SG D � Title dA6de
1 July 2004
C