HomeMy WebLinkAboutBLD2008-01692 TEMP POWER AGREEMENT007.TIF01/07/2009 09:03 8283226814 CATAWBA CO PAGE 01/01
Catawba County Building Services Division
PQ 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.
Please list the total number of electrical meters to be installed on� thi4 prgiect
SLD 2 I - Job Ti IN # �tP �Z �lf j '� $ldg # Unit #
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We do hereby release and agree to indemnify, save and hold barmless 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 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 Pee Schedule. The temporary use of the system is necessary to operate the I4VAC 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, 14VAC, and Plumbing contractors are ready for the systems to be
energized as attested below.
Tbc rf--"nsible 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 CONTINUrfY 7LST ,R SHALL $F. FU7RNOMD BY ELECTRICAL CONTRACTOR AT TIME OF scmDuuv m, PECf10N.)
I. hereby apply for temporary use of the permanent C /00— amp
electrical service to the structure identified above. I authorize
billing of all renewals, if required, to the followi active
Catawba County billing account 7pr
Owner or GC Signature
Printed Name /*4WO) Title
As electrical contractor, I hereby certify that the electrical system
( ) is ready ( ) is not ready to be energized. B h circuits will be
energized as stated above.
Electrical Cr Signature
Printed Nam� ^t . l Title Cn"
As HVAC contractor I hereby certify 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 O-X-
Printed Name r ',14, nP, Title Re 4 ° "71
As plumbing contractor I hereby certify that the Plumbing equip.
( ) is ready ( ) is not ready to be placed i service. Tam aware
that the electrical systems will be aetivs�
Phimhing Contractor Signature �(� Z
Printe(l Name �i/l�if /lib Title
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