HomeMy WebLinkAboutBLD2007-02207 TEMP POWER AGREEMENT.TIF02/24/2009 14 :53 7045438553 CREATIVE SEWING PAGE 01
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Catawba County Building Services Division
PO Box 389, Newton, NC 28658
PermK Celle[ 828465 -8399 Newton Fax 828. 465 -8375 Hickory Fax $28322 814
SERVICE AGREEMENT TEMPORARY EL
NOTT!~ E:ch sepamte, meter to be connected is comsidensd a separate request and subject to a separate ke-
Pleaselist $e total number of elottricai pple4ers to be installed an this praieei
BLD 200- - 0A2o7 Job Title PIN# Bldg # 'Ll 1 Unit #
We do hereby release and agree to indemnify, save and hold bmWess Catawba County and its employees and Duke Power
Company from any and all liability dne to or arising from Catawba County eauaoog the der rical service to the above mentitmed premises
being disconnected. Temporary service is iamwd solely as a courtesy for the completion of aostruction and the building is not to be
occupied until a oertificate of occupancy is ismaed. Any violation of the above will autmioaticslftr void tesnpotary service_
The use of the system bd me focal i nspectiwn is anticipated to be days or less- If utility conngmtion remains in use beyond
30 days CC will be billed monthly per Cou*y Fee Scdw"e. 71W temporary use of the system is necea9ary 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 electried inspeow will be energind° Any 125v sinigle -phase circuits ucinpnrmily ctkV.=,cd 9. sr::1 .,AMn p .^
will be wmmd faun interrupt protected, with the macption of lighting cucwits in metal conduit The building will be convwdy rcperviacd
or will be secaue(y locked when it is not supervised. Tile edectridw HVAC, and Plumbing aontradm are ready for the systems to be
energi fed as. attested below_
3 cnpoue ste a Vtrxa;-- c: 5L-- f-- d i= fafxi Ma the geperafl co atracctor or owner: Tlke. GC is n%3ponsible
rur Admaiaiadrn&wc ices nalem oiherwim arrartted and agrees to set up a hWixg account wilt Catawba County Finance
Depar:aaenf for renewal of tUrxciment, Wnerdtd. 'Me. elect ieirl ;vatmctor shall csordivaee t1tis iatpq *= wietk bu ikUng serwke
oMcial. (A CON mqurrY Tg4rT.it Strain., = mmeown lr1' SAL WNMCMR AT TEW op 9C8ZPML p VV8F sCA70K)
1, hereby apply for temporary use of the permanent amp
'2
elsEtrlcat servic o to flue smum ure identified above; I xedwri ze
Date of acknowledgutceeut
bluing of all renewals, if regriired, to the tbilowing aetive
Catawba County billing account uummber
Offic l signawre of Notary
Owner or GC Signature
Notary's, Pointed or Typed Name
(official SCSI)
Printed Nance Title
My commission expires:
As electrical oorraaemr, I hereby certify that the electrical system:
Q
n
� A
( ) is ready ( ) is not ready to be energind. Branch circuits will be
energized as stated above
96cknowlpdWent
c a\,
al arketum Na
m
Eledrfl Contractor Signature
{� ¢�
Notary's Printed or Name
Printed lVaun Title r
oowmission eypk= 1
(Of6cia!
As HVAC contractor l herby eatify that the HVAC equip nm2d
Dam o f acknowledgrizettd�
( ) is ready ( ) is not ready to be placed in service. lam
aware that the electrical system will be activated as stated above.
Official signature of Notary
Mechanical Contractor Signature --
Notary's Printed or Typed Name
(Official Seal)
Printed Name Tftk
M commiss'im
As plumbing owdrac°eor I hereby certify that the Phtmhing equip-
is is to be in service. I am aware
j +j' bb
�
( ) ready ( ) not ready placed
be stated above.
•t ��
�
that the electrical sy3Ww will activated as
otWA
k k
Plumbing Contractor Signature
Notanty's Printed or Typed Name
i
Printed Na.
�. �.
;5 its
02/24/2009 14 :53 7045438553 CREATIVE SEWING PAGE 02
r
Catawba County Building Services Division
PO Box 399, Newton, NC 28858
Permit Center 828 -465 -8399 Newton Fax 828-46••8375 Hickory Fax 828 -322 -6814
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Eseb separate meter to be connected is considered a separate r"imt and aebject to a separate fee.
Pkase list the total number of electrical meters to be liesUBW on this proje d I
13LO U8 1:0 Job Tide �,
7 � Q � � PIIWM Bldg fF � t � [Jolt #
We do hereby release and agree to indemnify, save and hold harmless Catawba Coputy and it's employers 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 diseonnececd Temporary service is issued solely as a eouxtrey for the completion of construction and the building is not to be
occupied until a certificate ofoccupancy is issued. Any violation ofthe 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 beyood
30 days GC will be billed monthly per County Fee Schedule. The temporary use of the system is necessary to operate the NVAC 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 cneaginod_ Any 125v 5ingle-phase v- t ix wily eneigimil for coI15tmcriott 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 system to be
energized as attested below.
The responsible agent for the purpose of signing this form may be the gemeral eontraeter or *veer. The CC is responsible
for Ad[mi% trativt fen unless otherwise arranged and agrees to set up a bObog aceatut wisp, Catawba Conway Fvauce
Department for renewal of agreemeuS if needed T>T be electrical coatraexor Shall coowapsafe this iespadou wiith building service
Of llcial. (A CONTNu rY TLWER SHALL BE FURNISHED BY MXA COhMUC OR A1r'nME OF SCMDI(aZD INS FXTIOM)
I, hereby apply for temporary use of the permanent amp
t4 N
electrical service to the structure identified above I aotherim f
facimowled
I