370 SARGO EARLY POWER Jun. 22, 2016 4: 45PM No. 3797 P. 1
1
r s EARLY Pomm AGREEMENT & RELEASE
ATLANTICEACH
Electric power is requested nmv under the conditions and terms of this fiilly excmacd Agi'eerutu.t&Release
Jolt Address: -3�d � �
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Permit No, w Service Type(Circle One): Ovethcad CJndergmm d
We,the undersigned Geircral Contractor amd Eleciricinu,understand and agree.
1. " arly power" is Inu•ely for our coirstruotioil conmlveaiea, it is rcat rcgoired by Codes and does not
sti strhlte for Final Inspections or the C/0 (Certif"}c� ote of Occupancyjffiat must be issued before occupancy,
and as such is at the discretion of the Building O£t"rcial.
2. The City of Atlantic Beach will make a special inspection prior to the early power energizing. All rough
inspectious must havepriorApproval,hielvding meter base connections.
�. Occupancy of use of the new constutictioii beforq a formal CIO goo titutes fratid}dent use of the ood
Olegtrip servtCe. Stteh action is expressly p•ohibited and penalized by The City of Atlantic Peace
Ordinances. A violation of this Agreement sha I rasult in a request fol'prompt removal of Olectric service
atter I twenty-four 11011r notice.
4. "Early Power"release authority is the.Electrician an /or the Contractor and roust not occur before:
R. Equi lment, devices and fixtores arB in!, (or blanked ot'f safely.
b. Pane is complete with br•eakerl nno cover,alid(labeling i-equired of final inspection),
c. Service connection slid iq riding is complete.
d. Tho-electric system has fat'le y passed (twough electrical check.
Meter can is permanently marked with ilddmss.
Temporary address members displayed(Permanent numbers are required fol-0/0).
S. This fully completed form i,to be submitted to the Building Department by baud,mail or fax.
fi, Future Bitch Agreements`vlll not be accepted from throe who violate any one of the above items.
CONTRACTOR DATlx �� �� (e�l
PRINT NAME Ltya V1 C_ . r+r)
1#I.ECTRICJAN £ DATE
PRINTNAME f U -)777
800 Seminole Road,A.tIaMie Bouch FL 32233
Phom:(904)247-5826 Fax'(904)247-5895 http://w►vwxoab.us mvised 01 30 d9