HomeMy WebLinkAboutBLD2007-00831 TEMP POWER.TIFAPR -24 -2008 15:28 s CATAWBA COUNTY I B20 4G5 8962 P.002
Catawba County Building Services Division
PO Boa 389, Newton, NG 28658
Part Center 828 Newton Fax 828- 465 -8375 Hickory Fax 82M22.6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Eam separate meter to be connected is considered a separate request and wbjmt to a sepamur fire.
Pkase Rst the total number of eleetrhal meters to bee liiwalird oe tb$ proJem
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We do haaby release and agree to indemnify, save and hold hanalcu Catawba County and ii s cmploycm and Duke Power
Cempeny from any and all liability due to or arising from Catawba County causing the electrical Fervice to the atrove•mamioned p.cmiges
being discomecmd. Temporary service is issued solely as a wuraesy for the cumptcuen of comtrueion and roue building ii rent w be
oeeupird until a catifieate of acupartey a issued. Any violation of the above will automatically void temporary service.
The use of rose system before ftml inspection is anticipated to be day; or less. If utility connection mmins in use beyond
30 days OC will be billed moncrly per County pee SohedWe. The temporary cam of Nc system A neemsary m operate the RVAC and m
provide lighting for the completion of the rm'sh work Only time circuits that are accessary and/or have been inspected and approved by
the electrician and electrical impactor will be ensrgired. Any 125v sing(o-phose circuits temporarily enargized for construction purposes
will be ground fault interrupt prorated. 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 tdeetdona. I1VAC. and Plumbing miumbroa are ready for the systems m be
energized * arrested below.
The responsible agent for the pmVm of sliming this form may be The general contractor or owner. The GC is reaponrible
for AdmByEtativo fees volmn olim-wisc armaged and agrees to net up o biring account with Catawba County Finance
Department for renewal of agreement, if ataded. The electrical contractor dual coordinate this inspection with bW=R smite
ollitial. (A CONTINIUM TEe78R b'RAI.L BB VURNWGW BY MXCTW CONTRACfORAT Tm1E OF SCIMVUIXP aVFFE`. ... 0"
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I, hacby apply for ternporury use of the pemwnent amp
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public
electrical service m the structure idemified above. I wWoriae
I apNrgwl me
Nolot1
biding orati rannwaK irregaired to the fallowa%active
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Catawba Country billing sob
Q�c. si arc R(Nntury
To
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Owneror GC Si putba t
IXfL'I�A
Notary's Printed or Typed Name
Printed Nam;& <t E al ACEY 0 Q
MY commisai n pines
r
As electrical cordracuor, f hereby ratify that the electrical system
Date of acknowledgment
( ) Is ready ( ) is not ready to be energized. Breach circuits will be
energized as seated above.
Official signature of Notary
Electrical Commetor Signature
Notary's Printed or Typed Name
Printed Name Title
lees:
(Official Seal)
M commission ex
As RVAC euntmetor 1 hereby cartify that the NVAC equipment
Date of acknuwlcdpmnt
( ) is ready ( ) is not ready to be plated in Farvice. I am
aware that ft electrical systems will be activated as stated above.
Official signature or Notary
MaUaniol Contractor Signature
Notary's Printed or Typed Name
(Official Seep
Printed Name Title
M commission e xpire s :
As plumbing contractor I hereby certify that the Plumbing equip.
Date of acknowledgment
( )& Cady( )ignmready tobepiaotdinservice. lamawae
that the electrical systems will be activated as stated above.
ORcial signature of Notary
Plumbing Contractor 8igmture
Notary's Primed or Typed Name
(Official Scat)
Printed Name Title
_
M commission expires;
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APR -24 -2008 15:28 CATAWBA COUNTY 1 828 465 8962 P.001
CATAWBA COUNTY
BUILDING SERVICES
PERMIT CENTER
From:
P.O,. Box 389
Newton, NC 28658 /
Fax Number (828) 465 -8962 Newton Office "
Fax Number (828) 322 -6814 Hickory Office
Office Phone Number (828) 465 -8399
Subject; Aoolication for Temporary Power
Date: Aoril 24, 2008
Number of pages transmitted is/are 1 including this page.
Remarks: Permanent Power cannot be released because of septic tank
issues; we can release the home for Temporary Power for 30 days (fee of
$121.00 will be charged to billing, account). I need signature from General
Contractor only on enclosed form. Please get this form notarized and fax
back to 8284654962. If sentic issues are not corrected within 30 days a
renewal fee of $47.00 for temporary cower will be charged to your billing
account Please call vie at 828465 -7964 if you have anymore ouestions.
Thanks Pat Queen
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