HomeMy WebLinkAboutBLD2008-02159 TEMP ELEC APPL.TIFAPR -15 -2009 15:04 FROM:
TO:9284658470 P.2
Catawba County Building Services Division
PO Box 389, Pirswton, N C 28&%
Permit Center 828465•BM Nomon Fax 8284654375 Hickory Fact 828~322.8874
SERVICE AGREEMENT TEMPORARY ELECTRICITY
NOTE: Each separate meter to be concerted is oonsiderad A separate request sad subject to it separate fee.
Please list the tots] number of electrIval meters to be installed on this project
BLD2o ba SW .lob'nm i✓x y PINII D .2 Bidea Unit#
We do hereby release and agree to indemnify, save and hold herallm Catawba County and its employees and Duke Power
Company Fran any and all liability due to or arising from Catawba Comity causing the electrical service to line nbovement Jotted premisca
being disconnected. Temporary service is Issued solely as A wtutesy for the completion of copslwetion and the building is not to be
occupied until a ceAifecafe Of Occupancy is issued. Any violation Of [be obo rvill automatically void temporwyaerAM
The use of the system before final inspection is anticipated to tm days or kss. lrmity connection repairs in use beyond
30 days GC will be billed monthly per Comity Fee Schedule. The tanrpxzq use of the yyalcm is necessary to operate the HVAC and to
provide lighting roe the completion arthe finish woA. Only thole circuits that are acccuary andlor have been inspected and approved by
the electrician and electrical inspector will be energized. Any 125v single -plu se cireults temporarily energized for construction purposes
trill be ground fault iulcmlpt protected, 1% ft the exception of Kling eiteaits in metal conduit. The building will be constantly supervised
or trill, be securely locked when it is not supervised. The electrician, HIVAC, and Plumbing contractors are ready fur the systems to be
energized m attested below.
The responsible agent for Ihs Purpose of likiting this form may be Ike Pam] roatrpelor or owner. The CC is responsible
for Adudaktrative kes unless otherwlae arranged and a*reea to set up it billingaceouttt witlti Catawba County Flapnee
Depositional, for renewal of agrament, Ir needed. The elettrient coptractor &hall caordiant, this taspectlon with building service
oft IaL I AMNTlr1UrrV TX5TEft SMALL BE Ft"WISKE ELECTRICAL C(hYrRACTOA ATTIME OF 9 CH E 0VL»IX$ftCrH3Ll
1, hereby Apply for lmpomry use of the permanent amp
electrical service to the structure idenlit]ed above. ] nutitorlae
b0ag of an renewals, if reslulred, to the fo)it n Yurtive
Catawba County billing xeeolrut Bomber [ n #`5
Osvner'or GC Signnlure Z X&=
Printed nnme d Title f M k
2 A N U -P rBRA HILL MOM
"chat si nature ofmtery PIM
btary'a Printed or Typed
(Official Seel)
commitsioncxpites: � -;
eectrical contractor, t hereby eedify that the electrical system
is ready ( ) is not ready to be e- Branch circuits will be
energized as stated above, , , r
Electrical (:outrArtor Sigoalu
PrintedNotue, A d ,/!
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12.
As HVAC tractor 1 hereby earthy that the HVAC equipment
( ) is ready b not ready to be placed in service. I am
aware that electrical systems will be sclivaled as stated aWvc,
MaehaniexlCOntrattorSlgnxtnm _
Printed Name 946,u
As plumbing contractor J hereby certify that the Plumbing tquip-
( ) Is ready ] Is not ready to be placed io service. 1 pm aware
that the elect A Systems will be activated as stated pbave.
Plomblug Contractor Slg"tura f � L/
Printed Name ' dyd Sf6r Tithr — &r L4
ooh
r . xptaot
Or Typed Nam—es
s >•...2ag..W,
1Jorary
F
Noto
1 ;.3
RPR -15 -2009 15:04 FROM: TO:8284658470 P.1 -
MA FTH EWS
CONSTRUCTION
210 FIRST AVENUE SOUTH - PHONE 464 -7325
CONOVER. NORTH CAROLINA 28613.2114
General Contractor — Gamrnereial & Industrial
FAX # 828 - 465 -6747
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NUMBER OF PAGES INCLUDING COVER SHEFT
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