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<br />$50 FE.E <br /> <br /> <br />Peachtree City <br /> <br />CITY OF PEACHTREE CITY <br />BUILDING INSPECTION DEPARTMENT Georgia <br />APPLICATION FOR TEMPORARY ELECTRIC METER INSTALLATION <br /> <br />PERMIT NUMBER: Please issue release for the temporary installation of an <br />electric meter and service at the following location: <br /> <br />Lot No. <br /> <br />Address <br /> <br />Subdivision or Project Name <br /> <br />Utility Company <br /> <br />This service will be needed for the following periOd of time: <br /> <br />From <br /> <br />Thru <br /> <br />This request is necessary for the following reasons: <br /> <br />It Is understood and agreed that the installation of an electric meter and the release of service wili <br />be subject to the following conditions: <br /> <br />1. The meter may be removed :;It any time if it is found that unsafe conditions exist on the <br />property; <br /> <br />2. The meter may be removed at the end of the permitted period of time at the direction of the <br />Building Officiai; and <br /> <br />3. The undersigned general contractor or owner assumes all responsibility and liability for any <br />use of electricity on the site during the periOd of time the temporary service is available. <br /> <br />4. The building will not be occupied prior to the issuance of a certificate of occupancy by the <br />City. Occupancy includes the moving in of any furniture of any other activity not related to <br />construction. <br /> <br />The permitted period of time for the use of the meter and service may be extended by the Building <br />Officia~ but there is no obligation to do so. The general contractor or owner relieves the City of <br />Peachtree City from any liability for any loss caused by removing the meter/service in accordance <br />with this agreement. <br /> <br />(V: . <br />~o fO v~ <br />/y~ Of:' <br /> <br />General Contractor/Owner <br /> <br />Address <br /> <br />Phone Number <br /> <br />Notary Public <br /> <br />Signature <br /> <br />.......';;.ij.;,....ji........ii.j,'.;,"..ii.ii......ii...."..ii.ii.;,"..';;.j,'.;."..ii'.';,"..ii.j,"j,";,.ii....",;.;;'..."ii'ii'li'.....;;........i.jj.;;.;,..i..;;'ii.....,;....jl.;,'.,;.;:....;,. <br />...ji...i........;,..".w.lj';....'il.;;'.",;.;;'..',;",;.:,:'ji'."..ji';,";,"... <br /> <br />This application is 0 approved 0 not approved by: <br /> <br />Building Official/Inspector <br /> <br />Date <br /> <br />15.1 Willowbend Road' Peachtree City, Georgia 30269 <br /> <br />Doc. Forms: Elect AiIadavit <br />Re'lised 02-15-01 <br /> <br />