HomeMy WebLinkAboutBLD2007-01308 TEMP POWER AGREEMENT.TIFCatawba County Building Services Division
y PO Box 389, Newton, NC 28658
Permit Center 828- 465 -8399 Newton Fax 828 - 465 -8375 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
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We do hereby release and agree to indemnify, save and hold harridess 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 UV AC and to
provide lighting for the completion of the finish work. Only those circuits (hat are necessary and /or have been inspected and approved by
the electrician nod electrical inspector will be energized. Any 125v single -phase ciranits temporarily energized for amsvuclion purposes
will he grotind foul) interrupt protected, with the exception of lighting circuits in metal Conduit. The buildin will be con9cmit, sopemsed
or will be securely locked when it is net supervised. The electrician, IlVAC, 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 FORNISHED BY ELECTRICAL CONTRACTOR ATTME OF SCHEDULED INSPECTION.I
1, hereby apply for temporary use of the permanent 9av amp
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electrical service to the structure identified above. I authorize
Date of acknowledgment
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bdBng of all renewals, if required, to the following active
Catawba County billing acQc�o /r /tat nOumb/e�r
Official signature of Notary
Owner or GC Signature
Notary's Printed or Typed Name
Printed Name ld Q a 16 act. Title Q X- "
my commission expires:
( Official Seal)
As el trial contractor, I hereby certify that the electrical system
is to be Branch circuits will be
Dale of acknowledgment
-
( u ready ( ) not ready energized.
energized as stated above. �/14�/ n v
Official signature of Notary
Electrical Contrac or Signature
Note ry's Printed or Typed Name
/ /
Printed Name 24 GI Cain /j,o CTitle /, /O°
(Official Seal)
My commission expires:
As f AC contractor I hereby certify that the HVAC equipment
( rs ready( ) h not ready to be placed in service. 1 am
Date of acknowledgment
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aware that the electrical systems will be activated as stated above.
Mechanical contryiCtor SSiignuature/
OF<cial signature of Notary
Notary's Printed or Typed Name
Printed Name °ce Title oKr NO
!G/ yG9<r f'
(Official Sea))
My commission expires:
As plymbing contractor I hereby certify that the Plumbing equip.
(✓j is ready ( ) Is not ready to be placed in service. I am aware
Date of acknowledgmem
that the electrical systems will be acfiva!o as s aced above
Official signature of Notary
Plumbing Contra for Signature
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`r/ � 041cr<�
Notary's Printed or Typed Name
(Official Seal)
Printed Name Title
My commission expires: