The URL can be used to link to this page

Home My WebLink AboutBLDC-9-10-11319 TEM Power.tif 06/23/2011 12:17 FAX 704 483 1137 DENVER CONSTRUCTION 1& 002/002 Catawba County Building Services Division -� PO Box 389, Newton, NC 28658 Permit Center 828 - 465 -8399 Newton Fax 828 - 4658375 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 if p BLD 240--- Job Title S� Aq R *3 PiNN i 0 7 d FW S 54 :1 Bldg # 4. -4�f unit Srl/G' !E 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 aho will automatically void temporary service. The use of the system before final inspection is anticipated to be TD days or less. If utility connection remains in use beyond 30 days (1C will be billed monthly per County Fee Schedule. 'rhe remporaty use of the system is necessary to operate the HVAC and to provide lighting for the compleuon of the finish work. Only those circuits that are necessary and/or have been inspected and approvod by the electrician and electrical inspector will be energized. Any 1 25v 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 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 CONCRACTOR AT TIME OF SCHEDULED INSPECTION.) 1, hereby a pply for tempor U Y pp p ary use of the permanent '� tunp electrical service to the structure identified above. I authorize ate of ac o dgment bluing of all renewals, if required, to the followirt active (: late '� Noror v' r Catawba County billing acco t number �� y P ubllc `� ficial si t of No se C U / lC Coro�vko Owner or GC Si nnture 4 g �___ MY Co�t�mis,,or, Fxptres 8 +� Notary Printed or Typed Name .� C.,! ]7 ��/ r- fficia Re Printed Name 11 T Title L- r My commission expires: �, 1e1 y�� %,�nr �� C O 0 �. AS,Occtrtcxl cuntracior. I hereby certify ttu►t the elecuical system �o A �/F� is ready ( ) is not ready to be energized. Branch circuits will be ate energized as stated above. - Notary Public icial sigt> = Catawba County Electrical Contractor Sipature � %'%'d � - I I L�YI4i �7°f •f _ = M y Cp Expires Notary's Printed or Typed Name Printed Name /, / �' Official S IJri' �f Y, 00 f�y <) � Tit1e O ( �. M commission a ires: t !'� '�i, ?T w I � . tr rk • �. i i i,. As VAC Corrrractor I hereby certify that the; � IVAC equipment 1 / / ,; dSa �` kn t s <; (1A is ready ( ) is not ready to he p}g`ce m servi e. ( A '� I am p, g r lorr Aubac 6 aware than tl1e clectncal systems 1I'6e rusted ted above - l si tore fNotary ��, �. r ounty l I.t R Slorr Expires Mcrhanical t �rntractor Sipes r'r _�_�, _ {�r7 r! 1 _;�[ >t, -2�l Notary's Printed or Typed Name Y Printed Name �r �✓r ��c.:�•. Title 1 fPS c'�rI ''i,�,,, l flicialSea� ti l�� ` �� M conutussion expires l �t r l +Gnat r` As lumbing contractor I hereby certify that the Plumbing equip /u / ( is ready ( ) is not ready to be placed in se rvice, I am aware ate of ac know mane Norar,. Arrbfrr_ ` that the electrical systems will be activated as stated above. �-`� a �� Carov.,bu Count t official s tore of Notary My Co m;rrresio Plumbing Exptrc Contractor S• l� �1.,,a(•S (' } Ley R ignature � t -� �� • _ Notary's Printed or Typed Name Printed Name Igin+N • Jf� itle "t -x, cia1 $eat M commission expires s