Early Power Form 368 7th St 2012 03/26/2012 88:06 3961136 MUNSONANDBRYAN
From :6enesis Building Corp 904 Z41 0326 03/26/2012 05 PAG0 02/02
:11 8371 P.OD?J002
8 3123/2.012 15:24 3961136
MUNSONANCORYAN PAGE e2/82
y �fi3?�r
- �w EARLY ?owER AGREEMeNr & RELEASE .
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CITY o ATLANTIC BEACH .
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Electric power is requested now under the conditions and terms ofthb fully executed Agreement & Release
,o 361 7t" 5fr
• Permit No. 1 - QO O 4S,Z Service Type (Circle One): Overhead Underground
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We the andersfo rd Central Conboctor and Electrician, understood and agree:
1. I.
° Po r" ie our -• ; on, • i vti ut Js Not ad
s tas such Elaine for ��eone f t h es i • , . n _ e et �. ' >ae ire be s�sieed baFco�e does l�
and as such b at the diaaretion of the BBee , . 4 Py
2. Flue C' Of Atlantic B i h ill et w n.a� a sJ Inspeetltn prio tp des
rneptx;Y�ns uoust have prior A inoliog anaoer bRSe cwa►nr ectbs. early power unorgiaing. All rough
3. ic . � e p �p eiukat oe of Me viovio n of a ameat s result in a req l ten — Iasi of u A ei iset�vice
4. "El P release on B.t a 'Dian and lust begone
servroe _ _ai� tt_xh cover_ vc ria^ �' a+e C final Insertion).
fiat occur bego
d The ela e !i! r° c� =yeretre •J , Y D d �o 10heek.
I. V tQ tart is 4 11 - 11th ‘ . �
may play „rteerrettt members rue required for CO.
5. This fully completed tout is to be submitted to the Building Department by bend, roan or fax.
6. Foture such Agreement will not be uoepted from those wit* vlels1e any one of the above ltewi.
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CONTRACTOR DATE 3 ,Z. c l'2"'
PRINT NAME / �4 1 45.40C.0
ELECTRICIAN / J. _ _ . _ DATE _3/ a 5/12,__
PRJNTNAME . ej 0 1 •
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800 Seminole Road, Atlantic Beath FL 32233
Phone: (904)247-3826 Pax: (904)247-5145 lutp://www.ceib.us 'revised of 30 09
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