66 Dewees Ave early power release 03/10/2017 08:31 3961136 MUNSONANDBRVAN PAGE 01/01
„ EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully executed Agreement&Release
Job Address:L`//_/1 NWez5 Ayf rr.l144 ,YAG Rjev
Permit No. IJ-RRyp'Z$I7 Service Type(Cirele One); Overhead nderground
We,the undersigned General Contractor and Electrician,understand and agree:
od �g
1' sbsrYtutpeo£o�Fwi�qu9peyctfon+omt�nCsttug °ni{{car�o�uanttveanta0c0. it ey)mrouurt bebague
a ued ba�f"or�e occupe,u,Y,
and es such is at the discretion oittJnA Bu//ild4mg ORlcial. f vc fit
2. The Cit99 of Atlantic Beth will make a 4pcpiel tnspeation Drior to the early power energizing. All rough
inspeedans must have pr or Approve inclluGdin'me r base nnectloos.
3. Occu ancy qr use of the new gaiiamlion befoTC a t9rma C!O zpndgtt{buytes iituAulent Use of{Pe early
electrrp7c 50rvlee. Suph actlpn 's ex ssslye pro
nl6lne An
peumei�for pro The arnnro ety l of eleo�rle service
Ordinances• A violation of act".%7, Agraa rag P P
after atwenty-four hour notice.
4. "Early P lease author 1 the Electr clan andlpprr ti�e ontra��r and mum not aocnr before:
ui ant,devices sntyd ttxtures are installed t�r bls�ed on)satply.
�: ims complete mita reakers ang covin,at (labbeel ng required m final inspection.).
c. rvrGe cM�nection and��44unding s c mplate.
d. a electric system bas's atAly passed t�r9Ygh electrical cheek.
Ater can is p rmanently marred with Address.
emporwy ail a 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.
6. Future such Agreements will not be accepted from Nose who Minos say One Of the above Hems'
CONTRACTOR RATE
PRINT NAME //
ELECTRICIAN DATE lOr/ /
FRINT NAME "I,o
900 Seminole Road,Atlantic Basch Fl,32233
Plain:(904)247-5826 Fox:(904)247.5845 hup9/www.00 ih.us revised 01 30 09
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