1691 ATLANTIC BEACH DR - EARLY POWER Jun 3016 04:26p McDonald Electric 904 7861984 p.1
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I EARLY POWER POWER,AREtIVIENT&RELEASE
CITY or AThANTXC BEACH
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Lteetric power Is requested now neer-the condition rand teens of this:ful ty executed Agreement&Its/ease
-Job Atldrecc•
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1(a R f�� 1ah`t 17� r� rzte__L 01 Lie,
• Peretti No. 1-5-3 r"J4 r o� 7vL- Service Type(Circle.One): Overhead ltdergound
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'We,the undersigned General Contractor and'Elcctrlcian;lmcietstand.and•
' "lardy Paver". is purely for our correi�ti on ronvenienrie, It is required b Codas end does.
substrtule fpr FinalCnsiiections or flee C/0 ertiftciteofCccupancy at must be Wiled bet`ore.occupancy,
and as•such is at the discretion of the Blued g Otffttc aL
2. The Gify'of Act)antic Beaclt will nmke a special.inspection prtor to the ascly power energizing. All rough
inspections•must have prros Approval,i uci en�ding meter base connections.
3. Occupancy•4r use of the nary etinstrnctfon before a formal CIO constitutes frauctuienf use of tire earl
electric •service. Shea •action is expressly prohibited mid panelized by The City of Atlantic Beach
Ordintinoos.A violation c tliisAgree-rnent shall result in a requestfor prompt removal of:electric service
after a iweDty foot'hour notice. .
4. "Early.Power"release.apthority is the Electrician nd+ortlte Contra or�nnd must not occur.before:
Equlornent,dsvices 0Rc nutans are installed(or bianked o safely.
Panel is complete zvJtlr bxoskers and cover,and(labeling rflquired of final inspection). •
c. Service.connection aticl grounding is complete..
d. .The electric system has saf iy passed through 6100161 check.
e, Meter can is permanently'mated with!address:
Temporary addressnuiri displayed(Permanent mmmbers arc required.-for C!C
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.5. This fully completed form Is to be-submitted to the Building Department by hand,mail or lax.
I G. Futuresuclt Agrrements•wlllnot bcnccapteil from those o vfolafe mry one of the above Items.
CONTRACTOR. -0DATE•
,ALAP12II�T$rAlb1E . ,'1arTtt.„
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ELECTRICIAN DRIE 30 -16
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P Itrl4TNAME Ler-114/__
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eooScitiluole Road,AtlantioBeitc r II.42233 ++�
Phony(904)247-5626 Pax:(904)247-5845 Ii0p./AnvW:coab.ns revised 01 30.09