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HomeMy WebLinkAboutBLDR-10-11-22132TEMPPOWERONBLD.tif L2 hIL J Catawba County Building Services Division PO Box 389, Newton, NC 28658 Permit Center 828 -465 -8399 Newton Fax 828 -465 -8375 Hickory Fax 828 - 322 -6814 4 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 Job Title PIN# 37 W09 ( (a3 1 1 Bldg # 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 ¢ Y p p � 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 E 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 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 CONTRACTOR AT TIME OF SCHEDULED INSPE /// I, hereby apply for temporary use of the permanent 4 DO amp ? aD `� electrical service to the structure identified above. I authorize Da e o ac cnowlledgment �� N billing of all renewals, if required, to the following active .w '421-- - "� NOTARY Z = Catawba County billing account number $(j (1f) n,2 5 O signature of Notary y PUBLIC v Owner or GC Signature Nota 's Printed or Typed Name i9 Printed Name ; ; r S Title (0 1061+ My commission expires: J OV ai) ' As electrical contractor, I hereby certify that the electrical system � ti ��� �s read is not read to be ever Branch ircuits ill be Da of acknowledg ent � (� Y( ) Y g f3 Z? energized as stated above. fficl signature of Notary c) PUBLIC = J NOTARY �� Electrical Contractor Signature s Printed or Typed Name �'i ?� Printed NameJ�( My commission expires: fl i ���? As HVA contractor I hereby certify that the HVAC equipment "� � a CPS ( s ready ( ) is not ready to be placed in service. I am Date of acknowled ent lV p NOTARY Z= aware that the electrical systems will bmati above. Offic�alsignatureofNotary 0 PUBLIC 0 Mechanical Contractor Signature L16 ai Nota s Printed or Typed Name Printed Name e �p`jA (/`/, Title 4 Nor' My commission expires: T i © AIq (�IIIFj�� As lumbing contractor I hereby certify that the Plumbing equip. — ' �I 1 Date of ac wl men t �` ( ) is ready ( ) is not ready to be placed in service. I am aware O that the electrical systems will be acti ted as s a ve. o - NOTARY Z _ OtI3 a si ature of Notary .l� HK l�eb:us �n v; Plumbing Contractor Signature PUBLIC r/� ---� � �I Printed or Typed Name �� Printed Name Yi wt , artjd Title t) P My commission expires: J ( 8, �1'� C"" W s