1720 ATLANTIC BEACH DR - EARLY POWER •
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., :. �- CITY Or
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•%�� " ATLANTIC BEACH .
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Electric poWer is requested now andcrthe canditionsitntl tenns of fins frill executed A
Sob Ailrlrecc: /��!1•
y Agreement&Refsnss
)i la') c i.-_c,..„, Or
PdrtnlPNo. ES' /g_ O 050 Sery1
ice Type(Circlet/no);). Overhead verheadrg orad j
We,the undersigned General Corn rector and'pleetricien,understanci.end agree; II
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L• "Early ?iscver" is purely far Our cpus ritction ehnvehiarc f
substitute•for r..ial n rely ions o the CIO(^ f e, it is rrai i
andes•sttcliisatthediscrefionoftheBuild`ngOfcialoft)ccu ant u'�d by fides and goon t
p. y ttatnti'tst be issued before-occupancy, 1
2. The Gify of Mantle Beach will natke e special inspection rfor fo the cailiy powyor energizing,
inspections roust hove prim:Approval,incl i�ding meter bose•connections. I
& All ropgh !
3: Occttnrncy or use Of the new construction before n timid! C/O constitutes fraudulent use of the early
• eidetic-service. Stich aeiicp IS eicpressiy prohibited incl penalized by The City of Atlantic Beach
after��tns•,en 5/1b1 CIio of
Agreement shall result in'a req¢cst•for protnpf remavaI of.electric•senlce
•4. "Early Rower"reiease.autbority is the Electrician zndlortile Contractor and must tot occur before; i
b; Fanet s coidevices.fewithb eakerssand c ver(ed ando(labbel blanked itq it zt final inspection).
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Service connect on ngrot nding is-complete,
ccL The electric system his safely passed Through electrical clteck.
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Neter can isperniane permanently otarsed with address I
f, Temporary address nupibers displayed(Perman'ent numbers are requircd.fgr CFO).
S. This fully completed form is to be sulm itted to the Blinding Department by hand{mail or•i x. i
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U. Future-sift!!Agreements.will.nntbe-nccopfedfrom fhose}yhovfolnoftieaboveItems.tetinyone
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CONTRACTOIL
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?R1N&I�IAME / ,er&.
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BLEC1TtlCiriN `4
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r DATE
743
P12INTNAME ,J A. •
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•SOoSeniiuo!e Read,Arlan t cpieieli PL 32237 i
Mena:004)247-5326 Rex:(904)247 5845 1intp•J/wwN,i nti tis revised of 3'0'091
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