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Home My WebLink AboutBLD2007-02645 TEMP ELEC.TIFCatawba County Building Services Division PO Box 389, Newton, NC 28658 cf ,ti1iG7 Permit Center 828465 -8399 Newton Fax 828 -465 -8375 H ory Fax 828 -322 -6814 A 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 3 0x1,45 Job Title TarjJ Q,Or— PIN# Bldg# Unit# We do hereby release and agree to indemnify, save and hold harmless Catawba County and its 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.) 1, hereby apply for temporary use of the permanent gopo amp electrical service to the structure identified above. I authorize Date of acknowledgment billing of all renewals, if required, to the following activs, Catawba County billing account number .1 1 x u 4.h Official signature of Notary caner o GC Signature 1 Notary's Printed or Typed Name �n //// (Official Seal) ryxy�� Printed Name (' /j n . (aLL Title My commission expires: I ''LS -Q X As electrical contractor, I hereby certify that the electrical system (4 is ready ( ) is not ready to be energized. Branch circuits will he Date of acknowledgment r energized as stated above. / Official Signature of Notary ,.. Electrical Contractor Signature Notary's Printed or Typed Name Printed Name H C_ <E Titlo efi Hat y (Official Seal) commission expires: As HVAC contractor I hereby certify that the HVAC equipment Date of acknowledgment ( ) is ready ( ) is not ready to be placed in service. lam aware that the electrical systems will be activated as stated above. Official signature of Notary Mechanical Contractor Signature Notary's Printed or Typed Name (Official Seal) Printed Name Title MY commission expires- �s�In bing contractor l hereby certify that the Plumbing equip. (M) is ready ( ) is not ready to in ice. I am a Date of acknowledgment �I Q tftaY the electrical systems will be as v Official signature of Notary SIa Plumbing Contractor Signature Notary's Printed or Typed Name Printed Name HAR -LCu �•0 e tG7✓ —rdT (Official Seal) M commission ex ires: ..�.. <, <....o <...e ueaezzeeln CATAWBA CO '']] ��CP E 91/01 Catawba County Building Services Divisioh 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. �� P�ll��e��assere list the total lnnuumbberooff electrical meters to be installed on this project BLD 20D�� Title rAGiLr PINO 4 /3 9 7 Bldg# Unit# We do hereby release and agree to indemnify, save and hold harmless Catawba County and its employees and Duke power Company from any and all liability due an or arising from Catawba County coaxing the electrical service to the above - mentioned premises Acing disconnected. Temporary service is issued solely as a courtesy for the completion of construction and the building is not to be occupied until a certificnn of occupancy is issued. Any violation of the above will automatically void mmporary 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 CC 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 these circuits that am necessary and/or have been inspected and approved by the electrician and electrical inspector will be energized. Any My single -phase circuits mmpomi ily 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 reel unless otherwise arranged and agrees to set up a billing account with Catawba County Finance Department for renewal of sgrasment it needed. The electrical contractor shall coordinates this Inspection with building service Official. (A CONTINUITY TEMS. SHALL BE FORNISSED By ELECTRICAL CONTRACTOR AT TIME OF SCBEMMato INSPEMON.) 1, hereby apply for temporary use of the permanent amp electrical service to the structure identified above. I authorize Dam of acknowledgment billing of all renewals, if required, to the following active Catawba County billing account number. Official signature of Notary Owner or CC Signature Notary's Printed or Typed Name (Official Seal) Printed Name Title My commission expires: As electrical contractor, I hereby certify that the electrical system Dam of acknowledgment ( ) is read y O ix not ready n be energized. Branch circuits will be energized assisted above, Official signature of Notary Electrical Contractor Signature Notary's Printed or Typed Nam Printed Name Title My commission expires: (Official Sea[) set ) s Tea contractor i hereby certify area the HVAC e ( is randy (X) is nee randy to be plectra in service e. I am Date of acknowledgment aware that the electrical systems will be o ivated as stated above. Official signature of Notary jx Mechanical Contractor Signature 5 Nnury's Printed or Typed Name • b •'�— ° (Official Seal) Printed Nam a,4s.0 my commission expires! As plumbing contractor I hereby certify that the Plumbing equip. Dare of acknowledgment ( ) is ready ( ) is not ready to be placed in Service. I am aware that the electrical systems will be activated a stated above, Official signature of Noury Plumbing Contractor Signature Notary's Printed or Typed Nam, Printed Name Title (Official Seal) M cemmissien expires: