HomeMy WebLinkAboutNSFR2015-0675Ocr 01 2015
CITY OF GRAPEVINE
TEMPORARY ELECTRIC RELEASE
Temporary electricity has been requested for the purpose of construction,
remodeling, addition or improvement to the following described property. It
is understood that this lease in no w authorizes occ cy of the
buiidina. It is further understood that this temporary release Is for a thirty
(30) day maximum time period and the undersigned releases all claims that
may occur through accidents or spoilage of any type resulting from said
electric power being turned off at the end of the thirty (30) day maximum
time period.
ADDRESS LOCATION OF TEMPORARY ELECTRIC RELEASE:
4;-�o
ADDRESS: -�
PERMIT NUMBER: 1
of
00 Lel4r -V .fir - 00itr /Co
CITY, STATE, ZIP:
TELEPHONE NUMBER: I � o _ a r),a _ ' �00
INSPECTIONS FOR TEMPORARY POWER MUST BE REQUESTED
AT (817) 410 -3010
WORMMS CONTRACTOR FORWTEMP ELECA0.
Q ns / ( D
1,r
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it
CITY OF GRAPEVINE
TEMPORARY ELECTRIC RELEASE
Temporary electricity has been requested for the purpose of construction,
remodeling, addition or improvement to the following described property. Lt
is undiaramnei Ohm ome wel.#....., e.- .._
• " -1Owolawvu alIuL imtS iemPOrary release IS for a thirty
(30) day maximum time period and the undersigned releases all claims that
may occur through accidents or spoilage of any type resulting from said
electric power being turned off at the end of the thirty (30) day maximum
time period.
ADDRESS LOCATION OF TEMPORARY ELECTRIC RELEASE:
ADDRESS: 326
PERMIT NUMBER: _ IS — 10 7 4
CnfJTDACTno IAIM^M14AT1 ^.
NAME OF APP LICANT:
ADDRESS OF APPLICANT:
�5D0
Le q� J/�+
CITY STATE, ZIP:
15
Tc a�
TELEPHONE NUMBER:%
INSPECTIONS FOR TEMPORARY POWER MUST BE REQUESTED
AT (817) 410 -3010 �---
WORMS= CONTRACTOR GORMSITEMP ELEC.doe
c/0
DATE: