275 Sherry Dr early power release 09/06/2017 15:02 9042963471 ALLSTATE ELECTRIC PAGE 01/01
EARLY ppW ER AGREEMENT& RELEASE
,�.y CITY of ATLAN'T'IC BEACH
' !7A�iz
5lerdrlc power is requested na+r�under the conditions andumrs of this fully executed Ap�reement R Release
Job Address:
Permit No. �7� � Serviee TypF(Chek boe): Ovalxa Undergromtd
Ri the undersigned Gents,COatMuM,and Electrioi®n,understand and agree:
I. "Early Powdr"_is Vre f�or our con aatti.On,Whvenience. it is ¢¢�� r es 4tal
must`be nedbe&, Occupancy
yy tha C Cerirt5,,
of Occupancy
tttat ,y P8 '.
sutmutute h{ i Proal d,"V6*ons or 1 �
.and as suchrs atrM tliserehon of the Brilldnrq total.
411.m a pecial on prior to the early power enC ruing. ill roolidi
?. ?Ire City of:Atlantic Beach q
brspeefona must.have-prior Approrxl,ine ading meter base oonrxctions. qr �a�dd
'. Odic sarvicm Suplihegf�ion�ea sly prohibiitedandl penal 10 ed M' "''he Ciri of we of
el eatth
Ordinances. A vurjjan�n o this Int shell'result in.a request or prompt eme;M of electric service
alter a twenty-f2lw llpat ilntieG
q ^Eeriv p '•rel4aydhority t the Elecvtc4an and/or te.Gootroct Safcd must not occur betbrc:
1pme ttivxrcas and ttxyures are cover.and( 3 jjAg required
breolet atul.cover-.and(1§ lurggmred of final inspection).
b, e, is Comotvi[h �rd®
C. 5eMrceaointectton and rq� in rs rnp1ere.
eMeter can s perm h tlyye y adttnt'th aselesi check.
f. Tempoary addross numtler5 displayed(Permanent.numbers we required forao).
S. 'I11is fully completed form is to be submitted to the Building Dopertment by hand,mail or fax.
6. Future such A"monrs will not be accepted fro®these who violate:any ope of the cbevo items.
DATE SP 0 6 209
PRII.4rNAME - 4
ELWTRI IAN_90+s . ,a- ../ PATE SEP 0 62017 --
PRINT NA'AF,
a00-SemkWc Road:Aru ntic Beady PL 3223$
Phone:(904)247-Srevived 017009