DEMOLITION PERMITS UTILITY SIGN-OFF SHEET Prior to the issuance of demolition permits by the Building Division, the applicant is requested to notify utility companies. Please obtain signatures below to certify that notification for removal of utility services or equipment has been received by the utilities listed below. NOTE: The demolition, dismantling or moving of a building or structure shall be commenced or continued only when all existing gas, electrical and other services that are likely to endanger a worker having access to the building or structure have been shut off and discontinued. The Occupational Health and Safety Act, 1978 Section 158 158-B. UTILITY Address of Proposed Demolition: __________________________________ Name of Owner/Contact Person: __________________________________ Demolition Contractor: __________________________________________ Contact Name: ________________________________________________ Phone Number: ________________________________________________ Is building vacant? Yes No Vacancy Date: COMMENTS OR CONDITIONS OF APPROVAL City of Guelph Water – 519-837-5627 Waterworks Place (Off York Road) Billing Address for Services: Company Name: ___________________________ The water meter is to be removed and returned to the Waterworks Department. Please call for final inspection. **NOTE** APPLICANT CHARGED EQUIVALENT METER CONNECTION CHARGE IF WATER METER IS NOT RETURNED. Comments: __________________________________________________________________________ Contact Name: ____________________________ ____________________________________________________________________________________ Address: ______________________P/C: ______ ____________________________________________________________________________________ Phone #: ______________ Fax: _____________ ____________________________________________________________________________________ Signature ____________________________________ Date _________________________ 1-855-228-4898 ext. 5111118 (Reference Energy Act, 1971 Section 18) Signature ____________________________________ Date _________________________ Mike Pontes Guelph Hydro 395 Southgate Drive, Guelph Phone: 519-837-4733 Fax: 519-822-4963 Email: [email protected] ** 48 HOURS ADVANCE NOTICE REQUIRED** (Reference Public Utilities Act, Section 50 Sub-Section 3) The demolition contractor and property owner must ensure all commission equipment is de-energized and removed prior to demolition. GUELPH PLANNER Union Gas Company FAX 1-866-263-0581 Signature ____________________________________ Date _________________________ PLEASE NOTE: Any other utilities not listed above (Bell Canada 519-744-0065, Rogers Communications 519-894-8138) should be the responsibility of the owner to contact prior to demolition. March 2014 Building Services T 519-837-5615 F 519-822-4632
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