HomeMy WebLinkAboutBLD2008-01512 TEMP POWER APPL.TIFCatawba County ng Services Division
Po 389. N Box Newton N ewton, NC 29650
Permit Center 020 4658399 Navnon Fax 628465 -0962 Hickory Fax 820322E014
6ERVICEAGREEMBNT TEMPORARY ELECTRICITY
NOTE: Each wpnnte meter to be connected is considered a rcpneR wall nM subject to a separate few
Please list the Intel number of electrical meters b be Iwullm on this pro I etl
BLD 2001- 6 Job Title t L. G I Bldgp Delta Np
m
We hereby release m n
gee mere g fro Ve ova horn hml
aress Catawba county aM , fl eb
empinynee nna Du4e Pnwe
Companyfromany er all Ii roeor arisingholy C Attoneyfo causingthefalverviceroNe meni nat h
o es s
being a l unti vcu T l. Temporary service its issued solely a in of me for I w auto i on the o of wsim W
ndion e the he mining tling is is rullt m
occannual uvrils o fR6uu te rmyIs insmrL ai a Any Anti irMrc anll eumme0 veld Y, cons i
y ai
The use of 'beCe &M i li is aneic utility wr H am ro
y0 days GC will be brief Mi11W monrbly befo lM1ly per r Co inounty ty F Fee tlule at. The d temporary m th The mpo porsry use of of the the system ir.If rys¢m u necessary sary To m opremerate meu the e HVAC VAC aM m
will be ground fault aft'"Pt prmec¢d, with the exception of lighting si adiw in metal erMWL The builtling will be consluntly supervised
or will be securely locked when it is not supeniml The electrician HVAC, and Plumbing Amount we baby 6n tf systems m Ib
e vagrved as attested below.
The regpoudble agentforths purpnre of sighing thisform may be the general mvtrxbe or owner. The GC is rwWmbk
for Adminyb atwe fees unless atherwi a arranged Bud agrees In set up a blWtg account wish Catawba County Plnartee
Department for renewal ofBgreemi aneeded. The electrical rantrucbr shell roordinah tbb mai eotlov ABE building service
Of 21.(A CtlrvTINUITY IESIFR yali BE IN UNISHED BV EISCNRI nL CONTRACTOR AT Tun¢ OF B .. ON.)
I, hereby apply tor temporary use of the pmmnuent _amp
electned Service to the structua monnfed Arovn l uuthorlm
Date ofwhwwlNgment
bWlog of all renewals, If ram red, b the following Bathe
�'
Catawba County bMl g t fittest
Official siterm, of Notary
/
Owner or GC Bignare /�!/ti-
N
Ndary's Rintel or Typi Nwe
Prmfetl Name /'r- �� <TXIe d/V 2Rr
(Official Audi
My commission expbu:
As chenical corwarr, I hereby certify Nat the elavino system
Dab
() is mdy O is rwt teWy m be evermeal Branch circuits w616e
of we wletlgmmt !'
erargiclat as stated aborc
Mcml signafine of Notary
E rM Contractor Firesamre
I
Nomry'a Prinfetl err Typed Nana
PnMed Name Tllk
ap Zl� (OPoClel9nl)
w up.
M w m ssmn x
Aa EVAC Contractor l hereby O ify Oaf Ne FIVAC equipment
n
v'
( )'steady( )Ismlteaay mbeplacNmderviae. lam
Mwofwe w[edgoen ylbl
aware Net the electrical systems will be sdi'usso as stated stove.
ORcitl ai of Notary \WA
MhaoicMechanical ublgu
Mechanical COn(rr9dture
gnature
VII Q
worry's Ptinfal or year Name �7k��
PMt�rvame Ti Re
NO ejLm gOMCial On])
Mc
As Plumbing contractor l hereby warily that the Plumam"ciuip.
DJ`n
Date ot ut rowlai ed. °m PA. 5J LI
( )Isresail )idammody mhe phceain sen'Ica famdwd
Nat the electrical systems win be activa�as stunted
e'° P+a o .
r' }1,
above.
ORCiel signetwe ga s
Notary
Plum bng COnbb Nre
xr Algne
of
U ni
Mf
Nmmy'A Ism is Tped Nome ap'N
Prlvud Name Tith
�� (ORCial AUI)
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