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Home My WebLink AboutBLD2008-01238 TEMP POWER APPL.TIFCatawba County Building Services Division 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. Pleas st the total number of electrical etc t be Installed on t 's p eject old 2pD�. 14--) BLD 200 ��r�- — Job Title tu�.]`(gf fly �� PIN �� t Bldg # Unit # 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 Countv 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, H VAC. 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 TINE OF SCHEDULED INSPECTION.) I, hereby apply for temporary use Of the permanent amp 5 - AI -QU) electrical sen•ice to the structure identified above. 1 authorize ppte of acw dgment billing of all renewals, if required, to the following active �Vy ur(},/�/�/.� Catawba County billing account number Offici si natu ofNota ry � ShI g L Owner or GC Signature _ ■ , Notary fs Printed or Typed Name - Printed Name A. (o • itle (Official Uad) ,��rnGS My commission expires: _ "'Ol.?•o20 /�' As electrical contractor, I hereby certify that the electrical system 3 aa•aae 9 ( ) is ready ( ) is not ready to be energized. Branch circuits will be energized as stated above. to of acknow g� [��,•,�// ._ t Official ignptur ]'Notary Electrical Contractor Signature /' trs7 C1 f C C rAt?C lf1C�/ Not 's Printed or Typed Name � -: , qq � Printed Name a fa f�. H k le (1 c! Fas. (Official Seal) -- My commission expires: As H VAC contractor I hereby certify that the H VAC equipment ( ) is ready ( ) is not ready to be placed in service. I am " Pate of ackno nnt aware that the electrical systems will be activated as stated above. )(� -�'�"t t� Mechanical Contractor Signature )ciaat of Trgn� �L h • A!"�.('�H1�� - Printed Nam W~13Y Title VP Notary's Printed or Typed Name (Official Seal) My commission expires: D/ As plumbing contractor I hereby certify that the Plumbing equip. ( ) is ready ( ) is not ready to be placed in service. 1 am aware Date of acknowledgment that the electrical systems will be activated as stated above. Official signature of Notary Plumbing Contractor Signature Notary's Printed or Typed Name Printed Name Title (Official Sea]) M commission expires: No, Rd 241 3642 Y, UK Catawba County Building Services Division 4 PO Box 389, Newton, NC 28658 Permit Center 628- 465 -8399 Newton Fax 828- 465 -8375 Hickory Fax 828- 322 -6814 SERVICE AGREEM ENT TEM PORARY 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 20o 7. 0 35 Job TitIE4� k k r t PINiF Bldg# Unit# We d0 hereby release and agree to indemn5. 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 tempo y 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 OC 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 )York. Only those circuits that sire necessary and /or have been inspected and approved by the electrician and electrical inspector will be energized. Any 125v single -phaso circuits temporarily energized for consbtictio I purposes will be ground Fault intenvp[ protected, with the exception Of lighting circuits in metal conduit. The building will be constantly supei vised or will be securely locked when it is not supervised. The electrician, HVAC, and Plumbing contractors are ready ror 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 ofagreement, if needed. The eiecn'ical coutr shall coordinate this inspection with building service OffiChil. (A CONTINUITYTLSTER SHALT. BB FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OT: SCHEDULED INSPECTION.) I. hereby apply for temporary use of the permanent antp electrical service to the Sulu identified ab "#?. i autholme blllleg �f>ArMewAs, if�u�r to the fofladvine aetive N Title Comm v V (Official Seal) d F d contractor. l hereby certify that the electrical system ) is not ready to be energized. Branch circuits wi ll be Oate ofacknowledgment stated above. Official signature of Notary antrActor' Signature Notary's Printed ur Typed Name e Title (Official Seal) My commission expires: As HVAC contractor t hereby eertily that the HVAC equipment ( ) is ready ( ) is not ready to be placed in service. I am aware that the electrical systems will be activated as stated above. Mechanical Contractor Signature Printed Name As phunbing contractor I hereby certify that the Plumbing equip. ( ) is ready ( ) is not rendy to be placed in service. jail, 7� that the electrical system r tiv as slate t . Plllmhina Cnnlrn Nnr cl e,... �....� nw,.� �( Printed Date Of acknowledgment Official signatum ofNoLary Notary's Printed or Typed Name (0113cial Seal) .� rA Notary's Printed or Typed fires: Sla Loy 6 (Official Seal)