PO Box 3827 • Beaumont, Texas 77704-3827 Phone (409) 880-3762 • Fax (409) 880-3110 City Of Beaumont REQUEST FOR TEMPORARY UTILITES DATE: TO: Boyd Meier, Building Official
PO Box 3827 · Beaumont, Texas 77704-3827 Phone (409) 880-3762 · Fax (409) 880-3110 City Of Beaumont REQUEST FOR TEMPORARY UTILITES DATE:_________________ TO: Boyd Meier, Building Official SUBJECT: The use of temporary utilities for construction purposes and testing of equipment at ____________________________________________________________________________ ADDRESS PERMIT# I____________________________________________________________as General Contractor request. The use of temporary utilities for construction and the testing of equipment. I understand that this in no way gives me permission to occupy or use for storage purposes any building or portion thereof unless all permits on the building or portion to be occupied has been inspected, approved and Certificate of Occupancy issued. We further understand that the temporary utilities may be disconnected for any violation of the building code. The general contractor and owner assume the responsibility for any violation of any city ordinance by the sub-contractor. Temporary electrical permits are in force for thee (3) months (90 days). If more time is required to complete the building, a new application shall be submitted by a licensed electrical contractor and be accompanied by the temporary electrical permit fee. The undersigned hereby agrees to indemnify and hold forever harmless the City of Beaumont, its officers, and employees from any and all claims or causes of action alleged to have been caused directly or indirectly by the temporary use of utilities for which this application is made. I hereby agree to abide by all provisions of the Code Of Ordinances for the City of Beaumont. ___________________________________________________________________________ General Contractor's Signature Phone # THIS IS NOT A REQUEST FOR INSPECTION. INSPECTION REQUEST MUST BE MADE AFTER PERMIT FOR TEMPORARY SERVICE IS SECURED.Nitro PDF PrimoPDF PrimoPDF http://www.primopdf.com