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1751 Beach Ave early power 09/18/2013 14:17 904-2490703 BROOKS AND LIMBUAGH PAGE 01101 EApXY POWER AGREEMENT & RELEASE CITY OF ATLANTIC BEACH Electric power is requested now under the conditions and terms of this fully executed Agro©meat 8c Release Job Address: t --,2 �� _u_ Permit No. — CE !-- Service Type(Circle One): Overhead ndergrou We,the undersigned General Contractor and Electrician,understand and agree: does i. "Early Power" is ppurely for our construction convenience, it is )viarequired must bebi�edbefore occupancT, substitute ubbstitut as cff for rota dspe ton f the$u Building Offctal of Occupancy C 2. The City of Atlantic Beach will mare a special inspection prior to the early power energizing. All rough inspections must have prior Approval, including meter base connections, y 3. 0ecup"ey or use of the new cOnstiruetiort Erol b ted and a li edt1 eThe City not Adan the electric service. Such action is expressly p Ordinances. A violation to this Agreement shall result in a request for prompt removal of oleciric service after a twenty-four hour 4, "Early Power"release evices authority is the Electrician.aand/or d(or the sciContractor n act ra and must not occur before: a Equipmect, and b. Eane1 is complete with breakers and cover,and(labeling required at final inspection). c. Service g is complete. ice connection and grounding L The electric system bas safely passed through electrical check. e. Meter can is permanently marRed with address. f. Temporary address numbers displayed(Permanent numbers are required for C/O). 5, This fully completed form is to be submitted to the Building Department by hand,mail or fax. G. Future such Agreements will not be accepted from diose who violate any one of the above items. DATE q , CONTRACTO PRINT NAME DATE ` 1 ELECTRICIAN ppiNT NAME 800 Seminole Road,Atlantic Beach FL 32233 Phone:(904)247-5826 Faye:(904)247-5845 http,/1www,coab,us revised 01 30 U9