HomeMy WebLinkAboutBLD2008-02102 TEMP ELEC AGREEMENT.TIFt r
Catawba County Building Services Division
PO Box 389, Newton, NC 28658
Permit Center 828- 465 -8399 Newton Fax 828 -465 -8962 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 this project_
BLD 200 DZ/0 Z- Job Title J4 431UJ - PIN# Bidg # 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 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 maybe 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. IA CONTINUITY TESTER SHALL BE FURNISHED BY ELECTRICAL CONTRACTOR AT TIME OF SCHEDULED INS +EyC+TAQNlarr rN_
1, hereby apply for temporary use of the permanent amp
electrical service to the structure identified above. I authorize
3/30/2009 ♦ �.••' "'• 4
Da4e of a4nowl gme • MOrA4 ti
if required, to the following active
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billing of all renewals,
O icial signature of Notary
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Catawba County billing acco nt number
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Owner or GC S1 ature
Janie S Beard
Notary's Printed or Typed Name
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My commission expires: May 22
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3/30/2009
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As electrical contractor, I hereby certify that the electricals stem
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(v) is re ( ) is not ready to be energized. Branch circuits will be
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energized as stated above. _
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Official signature of Notary
Janie S. Beard
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Electrical Contractor Signature R4f L-
Notary s Printed or Typed Name
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Printed Name j I M Lr. nnnr, Title )0b jptl
My commission expires: May 22,
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HVAC
3/3012009
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As VAC contractor I hereby certify that the equipment
(Vis ready ( ) is not ready to be placed in service. [ am
a of acknowle m e ♦+ f
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aware that the electrical systems wil be activated as st t a
O icial signature of Notary
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Mechanical Contractor Z; ature
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Tanie S Beard
Notary s Printed or Typed Name
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Printed Name -�� r� itle
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May
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M commission expires:
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As plumbing contractor I hereby certify that the Plumbing equip.
3/30/2
of acknowled ent
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( ) is ready ( ) is not ready to be placed in service. I am aware
that the electrical systems will be activated ass a ove.
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O ial signature of
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Janie S. Beard
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Plumbing Contractor Signature
Notary's Printed or Typed Name
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Printed Name y �QL 4 , 1 5 Title rOr'6 icel
My commission expires: May 22, .. �••' d
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