335 10th St early power release EARLY POWER AGREEMENT & RELEASE
CITY OF A MANTIC BEACH
Electric power is requested n/ow under the conditions mW
rd terms of this fully executed Agreement& Release
Job Address: .'S� luf* f
Permit No. EA L-511- OCE1 Service Type(CireltOae): Overhead(i�
We.the undersigned Generei Contracmr and EleciriCian, understand and agree:
I. "Early Power',is ately Ibr our cumulation mnvemenec, it is nal reUuired by Codes and does DP!
and as such et alle dipeectiOn Of the Ci 0 og Official.
of Occupancy
Tfhel must be issued lsetore occupan<)'.
retion
1� ?. The City of Atlantic Beach will make a special insIttvion prim to the earth power mergizing. All roughinspections must have prior Approval,including meter ase conneciloos.
of
3, a<lnetcC or use
Such ectlon construeis sly pmhiblted,rmd mal Cpetulsed rbv Thee City of use
cBeach
Ordinances. A violation of this Agreement shall result in a request for prompt removal of electric service
after a twe4ty-four lour notice.
4. -Early Power"releme authority is the Electrician anr{ror the Coniraa��mr�d must not occur before:
a. Equipmmt,devices end fixtures arc installed for blanktd ott)safely.
b. p 0 is complete with breakery and cosec and(labeling required W final Inspection)
c. Service connection and rounding is cthrough omplete electrical check.
d. The electnc system has passed
e. Meter can is permanmtly marked with address.
f. Temporary'address numbers displaved(Permmertt numbers are requimd for CIO).
S. "is fully completed form is to be submitted to the Building fxpenment by hand.mail Off"
6. Future such Agreemtnb will not be accepted from those who violate any One of the alovt"ams.
g 17 J 7
CONTRACTOR .�ar..�� ty � p OUh DATE
PRINT NAM _------------ II
-101
ELECTRICIAN DATE NU( 3
PRINT NAME
9W Seminole Road,Atlantic Beach FL 3283
Phanea9041247-5826 Faxa9041347-5943 blip'."w'w
w.coab.us "'ve '013009