HomeMy WebLinkAboutBLD2008-00479 TEMP POWER AGREEMENT.TIFCatawba County Building Services Division
PO Box 389, Newton, NC 28658
tu Permit Center 828- 465 -8399 Newton Fax 828- 465 -8962 Hickory Fax 828- 322 -6814
SERVICE AGREEM ENT 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 2001/0429 .Job Title 0. 0_ Ce_ _PIN #3]al ag SD_(11` #_. Unit #__
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We do hereby release and agree to Indemni , save and hold harmless Catawba County and it's employees and Duke Power
Company from any and all liability due to or arising from Calawba County causing t h e e lectrical service to the abovc- 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 amomabcal I void temporary service.
The use o the system before final inspection is :inner Fired to be days or less. It 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 I IV AC 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 ei out is temporanIy energized for construction purposes
will be ground fault interrupt protected, with the exception of Iighnag circuits in metal eond oil . The building will be constantly supervised
or will be securely locked when it is not supervised. The electrician, HV AC, 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. IT CO.N'TINUI IN TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INSPECTION.)
1, hereby apply for temporary use of the permanent C900 amp
electrical service to the structure identified above. I authorize
Date of acknowledgment
billing of all renewals, if required, to the following active
Catawba County billing aecou I number
Official signature of Notary
caner or GC Signature
Notary's Printed or Typed Name
) � O 1 ������ I` -'�tL CFUSt
rioted Name L --%PW Title AY,4DOT
My commission expires'.
(Official Scup
As electrical contractor, 1 hereby certify that the electrical system
( ) is ready ( ) is not ready to be zed. Branch circ I be
Date of acknowledgment
energized as stated above,
—
Official signature of Notary
Electrical Contractor Signalu -
(� t
L.�l'1 ;, J CCl !•
Notary's Printed or Typed Name
(Official Seal)
Printed Nama, . WeN
M commission ex Tres:
As HVAC contractor I hereby certify that the HV AC equipment
( ) is ready ( ) is not ready w be placed in service. [am
Date of acknowledgment
aware that the electrical systems will be activated as stated above.
Official signature of Notary
Mechanical Contractor Signature
Notary's Printed or Typed Name
Printed Name Title
(Official Seal)
My commission expires
As plumbing contractor i hereby certify that the Plumbing equip.
Date of acknowledgment
( ) is ready ( ) is not ready to be placed in service. 1 am aware
that the clec0'ical systems will be activated as sorted above.
Official signature of Notary
Plumbing Contractor Signature
—
Nolary'sPrintedorTyped Name
Printed Name Title
(Official Sea])
—
My commission ex T res: