325 Country Club Ln early power release 04/06/2017 15:54 3961136 MUNSONANDBRYAN PAGE 01/01
EARLY POWER AGREEMENT & RELEASE
CITY OF ATLANTIC BEACH
Electric power is requested now under the conditions and terms of this fully exaouted Agreement&Release
Job Addraaa`♦ d..s 60-f 4
PermltNo. l �fJG 131Service Type(Circle One): Overlta Undprgm
We,the undersigned General Contractor and Electrioian, understand and agree:
1. ' rlvv PuwMer" is nu3repI for orthanonvanience, it is " rnouhed v Cod and dopa
and esttsi vN Ia et,t 11?dispepnatcm oTtl eaBCu/Ilding O f laj of Occupancy)ntet must he sued be'ore occuppn y,
2. The Ciiuluof Atltntic ly rich will
make
acludingl ingtcection base oonootithe early power energizing. Allrough
3. 4i42911ebrvlueM of
Illenpw onexpctioC, Plghlbrtafdormal CJO O�o�aan�tlurYtes frautluy nofuAtlanticpB alt
mnnws. !#,vio aban o.t ua Agreement shall result In adrnr.:V for prompt nmovel of electric service
n rebvpnty our tour nonce.
4. "Early POwmr"release apthorily ' the Electrician T jn or dus Contractor and must not occur before:
a. F.quiDmanr,deviwa Artdixturea are installed(ar blanked aft)safely.
b. rant ls wmpleta with breakerg and cover,and Ciabeling required at incl inspection
o. Mt.9e Connection tied cr4 ndmglec mplete.
d.
The elemrip terns satet{ypa sap Lirq�gh elatrtcal check.
qq Maier can w tmenntly marR.Play l @perces.
T. 'femporery a rose num [a display emlanent numbers are required for GO).
5. This fully completed form Ia to be submitted to the Building Department by hand,mail or fax.
6. Futuro such Agreements will not be accepted from those who violate any one of the above items,
CONTRACTOR
DATE
PRINT NAMIE _! h I U•L� " / �f� �1
ELECTRICIAN J ,7 se,;.b D DATE
PRINT NAME
800 Seminole Road,Arcade Bent,FL 32233
Phune:(004)247.5826 Pax:C)MI247d845 hup:11www.conb.m mviaed 01 3009