201 Ocean Gate Dr early power release 10/20/2016 14:59 904-2490703 BROOKS AND LIMBUAGH PAGE 04/04
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EARLY POWER AGREEMENT & RELEASE
CITX OF ATLANTIC BEACH
&
.Electric power is requested now udder the conditions and terms-of ibis fully executed Ap'eemeat Release'
Job Address: D e,Cel G G--rJ—
permit No. 15L LF. 2.1 (f� Service Type(Circle Ono): overhead ¢dergro
Wc,the undersigned General Connector and Electrician,understand and agreo.
1. "Early Power".is sty for our construction convenience, it is p¢d mustst bbeb&,Wdd codes
-ee and
r FrMe%M Z ff the GQ WO— AL OceupmtaY)ttuu
ansdes�such ie at tLoe on of the Bu deg O
Special * paatio u to,tire early power eaerfiziuf. All roof)
a. insspear�nsfmusst have pNor A Beach w� m incMdIding meow'bass n8orec4ons,
befor a formal C/O constiturea_lkaudulent uae of the earl
3. Occu or use of the new m o City of AUanne Beac
elean5o service , Suyh ac4au is exp Agreement shallPhhad and °lresult in a rekoe"t for �removal of electric servic
Ordinances.
twenty-four hsonurr notitiaftece.
4. "Early Power"release authority, is the Electrohm and/or Contractor and must not occur before:
a Equip ment,deWeessad sMa�amllever at Dab mag requitedle.fnalinspeonon).
o. Penveilee aonnecoetewith
land- is complete.
e. The alectriP eyarom (Y with 'cal thele ..
e. ebur can tea, displayed(Petmaneat numbers are required for CIO).
f Tennpomry teen
5. This fully completed form is to be submitted to the Building Department by hand;mail or fax
6. Future such Agreements will not be accepted item these who violate any one of the above Items.
DATE
'�cte� l�L✓��' '
I V
CONTRACTOR -
PRINTNANM
ELECTRICIAN DATE
PRtNTNAME t S• Lrll�
goo Seui Bole RDA Atla,rde Beach FL 32733
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