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Temporary Power Application

I, __________________________________, being the responsible agent am applying for power approval for the building permit number ___________. I intend to energize the following portions of the electrical system (check what applies) ____ meter, ____panel, ____completed circuits, other_________________________ for the following reasons : ____conditioned air, ____check circuits, ____initiate Duke Energy, other___________________________________________.

Please fill-in below:
Name:(Required)
I intend to energize the following portions of the electrical system:(Required)
(check what applies)
If checked "other", please describe
For the following reasons:(Required)
If checked "other", please describe

I will not allow anyone to occupy the structure until a Certificate of Occupancy has been issued.

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I,____________________________________, being the electrical contractor allow the responsible party to energize the requested portions of the electrical system an affirm those portions are suitable to be energized. I also affirm precautions are in place to prevent the rest of the electrical system from becoming energized.

Please fill-in below:
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I,____________________________________, being the plumbing/mechanical contractor(s) give permission for my system to be energized prior to c/o. I affirm the system is suitable to be operated.

Please fill-in below:
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