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1877 ATLANTIC BEACH DR - EARLY POWER i A 6 CC 51Y • P'''�r+`> EARLY POWER.AORI' IENT&RELEASE .. ,:'`'' .,- . • CITY OF ATLANTIC BEACH a i Electric power is requested now tinder the conditions-and terns ofthis fit Ily executed Agreement&Release i /5 77 4/-/ J t/� h De. i 3pb aJd����:exes , • PermitNo. . ei1 �? /� ' (2,451 Service Type(Circle One): O erhead, l.dergrouud I I We,the undersigned Genentl Contractor and Electrician,understand.and agree: 1: "Early Prover isurely for our con-Sit-notion.convenience, it is not required, by Codes and does not substitute for Phial purely or theC/O(Certificate of OecupancyTIlist must be issued be(bre occupancy, 1 end as such is at the discretion of the Building Ofti'e:at. i 2. The C�Jty,of Atlimthe Beach will make a special inspec;ion prior to the early power energizing. All rough. inspecnons must have prioz Approval,Including meter base•connectious. 3; Ccotiprncy or use of the new construction before a feral C/0 constitutes fraudulent use of the early eidetic service. Such action is expressly prphibited find penalized by The City of Atlantic Beach Ordinances. a'Violetleti.of this Agreementsi:al1 result in'a request for.prompt removal cf:ele.ctric service after a nveny-tour hour nch ice. t 4. "Early tower"release.authority,is the Electrician .nd;ortl:e Contractor and must not occur before: a. Equi tent,devices a u nxtures are installed(or bunked off,safely. tr. Panel is coinpie(e.Vith brea<ersand cover,erd(iabeting rcg»iredat final inspection). - c. Service ebmiection add grounding is complete.. d. The electric syster'i has safely passel!through electrical elite:, fMeter can is peunatiently etar ed with address. . Temporary ri,�dress:minte:s displayed(Perniarent nunibete are required for G'0). I I .5. This fully completed form is to be submitted to the Building Department by hard,mail or fax. { . 6. Entire such Agreementswillaict be accepted from those;\vim violate Wiry one of the above items. I • CONTRACTORDATE V6A2')/q 40 . PRINT I ATvIX ci(arfa..` • ELECTRICIANv/ / ! ,g„.6/ 1.(5L, DATE I- 6- (C� i PRII�'T�TA Z' g.r___lw4- • s00 Seiinoln Road,ArieniTeEiertch PL.32233 I Phones(904)247-5326 Pex:(904)247-5345 littpllwww.coeb.trs revised 01 3005 I I 0