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Home My WebLink AboutBLD2007-01016 TEMP POWER AGREEMENT.TIFI Oxo* C er l oe4 4d'tne a CL atawba County Buildingervices Division PO Box 389, Newton, NC 28658 - ZjIS( Permit Center 828- 465 -8399 Newton Fax 828 - 465 -8962 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. Please list the total number of electrical meters to be installed on this project BLD 200 - a�(0 Job Title W o(cV PIN# Bldg # Unit # Tt O �`t o-e S.5 ° .t-lf c�, 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 GC 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 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. (A CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.) I, hereby apply for temporary use of the permanent amp electrical service to the structure identified above. I authorize Date of acknowledgment billing of all renewals, if required, to the following active p o- Catawba County billing account number Official signature of Notary Owner or GC Signature 42u,,4. Notary's Printed or Typed Name (Official Seal) Printed Name /h Q 1? _ '5 �)tir /S Title My commission expires: As electrical contractor, I hereby certify that the electrical system Date of acknowledgment ( ) is ready ( ) is not ready to be energized. Branch circuits will be energized as stated above. A , c k d ry k C t J Official signature of Notary Electrical Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Seal) My commission expires: el As HVAC contractor I hereby certify that the HVAC equipment Date of acktilowledgment ( ) is ready ( ) is not ready to be placed in service. I am aware that the electrical systems will be act vated as stated owe. Official signature of Notary cL Mechanical Contractor Signature w Notary's Printed or Typed Name Printed Name .7�o i� f77,'�. itle 40l1,Z.5 (Official Seal) My commission expires: As plumbing contractor I hereby certify that the Plumbing equip. (L- I to - Lod6 is ready ( ) is not ready to be placed in service. I am aware Date of acknowledgment that the electrical systems will be activated as stated above. Official signature of Notary (� ) �l Plumbing Contractor Signature 44 Notary's Printed or Typed Name Printed Name uv ^e S MJrfo� 0+1yJ40- (Official Seal) My commission expires: 12/19/2008 15:43 8283226814 CATAWBA CO PACE 01/01 DEC - 2008 15:10 CATAWBA GO T 1 828 465 8963 P.0ole001 � wrJr of s rt ss C 1 u1� 0� Catawba County Building Services Division PO Sox 389. Newton, NC 28658 Permit Center 828- 483 -8399 Newton Fax 828. 465.8962 Hickory Fax 828 -322 -6814 SERVICE AGREEMENT TEMPORARY ELECTRIC) Ty NOTE: EneB separate meter to be connected is considered a separate rewest and subject to a separate fee. Please list the total number of electrical meters to be Installed on this project , BID 200 0 ► o (o Jab Titl PIN#A�� 81dg # Unit # We do hereby release and agree tto save and hold barmla%N Catawba County and it's employees and Duke Power Company from any and all liability due to or arising from Catawba County enuring the electrical service to the above - mentioned premimm being disconnected. Temporary service is issued solely as a courtesy for the completion of mnstruction and the building is not to be occupied umil a certificate of occupancy is issued. Any violation of the above will automatically void temporary service. The use of the system bofore final inspection is untieipatcd to be days or lays. Tf utility connection remains in use. beyond 30 days GC will be billed monthly per County Fee Schedule. The temporary use of the system in 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 clectrician and electrical inspector will be energized. Any 125v single -phase circuits temporarily energized for cotuwddian purposes will be ground fault interrupt protected, with the exception of lighting ebeults in metal conduit. The building will be constantly supervised or will be securely locked when it is not supervised. The clectri6an, HVAC, and Plumbing contractors are ready for the systems to be energized ns attostod below. The responsible agent for the purpose of signing this form may be the general contractor or owner. The GC is responsible for Administrative feet unless otherwise arranged and agrees to set cep a billing account with Catawba County Finance Department for renewal of agreement, if needed_ The electrical centractior sha0 coordinate this inspection with building semat, official. (A CONTINUITY TEST" SHALL BE F UMSHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED 1NSPECflON.) 1 hereby apply for temporary use of the permanent amp electrical service to the structmn identified above. I authorize Date of acknowledgment billing of all rmewaffi, If required, to the following active Catnwbn County billing account number - Official signature of Notary Owner or CC Sip"Ature Notary's Printed or Typed Name (Official Seal) Printed Name ! Title My commitaion expires: As ctrical contractor. I hereby ecftify that the cloccrical system c� Date, of tu:knowledgment is ready ( ) 7 not ready to be ener 12ed. $rflnah circuits wr�L,be energized as stated above. rr t Official signature of Notary � Electrical Conti Slt¢m Notary's Printed or Typed Name V � 1 Ptin�e (official Seal) Mv commission expires: As HVAC contnictor I hereby certify that the HVAC equipment lal Date of ackdo ut gment ( ) is ready ( ) is not ready to beptaced in service. lam swans that the olectrical systems will be a 'sated as sea ,tJt0.ve. official signature of Notary Mechanical Contactor SigmNrc Notary's Primed or Typed Name Printed Nam ot= f)" tIe 6 (Official Seal) 'my comin Niue Tres: As plumbing contractor I hereby certify that the Plumbing equip. It I lo- 2,02t it ready ( ) is not wady to be placed in service. Ism swam Date of acknowledgment that the electrical system% will be activated as stated above. Official signature of Notary Phambing Contractor S1P,natorc Notary's Printed orTyped Name ll Printed .Name .J awtl KU42t`1 Titk fi� (Official Seel) Mv commission ex au: 9 TOTAL P.001