Permits 2072-1 George Street - Donner Park Restrooms04/23/2008 00:58 FAX
Jut 12 10 04:10p Information SystemsClTY O 9oa-2a~-s~5 :~~ p ~ oo i
y.
.•
y' .~
:, BARLY' POWER AGREEMENT & RELEASE
~~ ~ ~` CITX OF ATLAI~T'~IC BEACH
~.c~ = aY
Electric power is n~quesoed now under the conditions and terms of this titlly execubod Agreement & Relcasc
Job Address:
..
Permit No. ~~ ` ~~~ Q ~ 5 ~ Service Type (Circle One): Overhead
Vl/e, the undersigned General Cantsactor and Electrician, understand arsd agree:
T. "Early Power" is ly for ous constrvation onvemie it is not requirod asbd dons
substitute fur Final~n~spectrlasss ar the C!O (Cecate ofupaneyjil'iai must bel~sswed oecupsncy,
end as such ~s at the drseretson of the 13u' g vial.
2. The Cily of A13antic Beach wilt nsaioe a spoci:al in on pfior to the early power energising. AJl rough
Iaspectrons mast have prior Approval, uncluding meter base conneetiotts.
3. Occupancy or use of the ngw eonslv~uctiotlybefore a fornu+~ C1Q consMutes fiauduknt use of the early
otectnc service. Ie1r~ echp~aat rs expr4ss ps~ohIbned an penalized by The Criy of Atlantto
Ordmances. vw on vf, this Agr+oemeat shall result in a raquCSt for prompt removal of electric service
ate a tweuty~ut hour notice.
4. "Early Pawn"' rolesse authority is the Electrician ~/or the Contractor must not accnr befiaa~e:
a. Equigrn_ cnt, devicos and fi~uees nre iastat~ied (ot blarilced otI~}~~ly.
b. ppaaei is comp with btoeker~ and cavcr, and (labeling roqu at final inspecdvn).
c. Servi~e connexm and ~~uunnduig ~s compl
d. The elocMc system has ~afeIy passed thr+welectrical c6cck.
e, MMotet can isperm pne~ntly marleed w address.
>" Temporary aadrrss num as displayed (Perrtisnent numbers are required ~'or GO).
5. This fully camplated form is to be submitted to the Building TXparpmerrt b3 hand, mail or fax.
6. >lrtttse:s such Agreement will not be accepted from traee s->to violate ary one o! the above items.
CONTRACTOR ~ `~ V\~ COVIS~C~~I/~~ DATE ~ - ~ ~ - I'(~
P'RIl~iT DAME ~~z~-_! 1 • r ~ 1 Y1~
ELECTRTCIAN Y ((Q~NO ~ I~~lC. ~ ~kC , DATE ~ ~'~Z '" IO
pR1NTNAME ~Q-lllKy~e C.~,,~...
$00 Seminole [to^,d, Attxrti¢ t3esch FL 32233
Phone: (904)247-5826 Fax: (9047 5845 http://www.oowb.us revised 0] 30 04