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APPLICATION AND
<br />ELECTRICAL PERMIT
<br />ITYPEWRITE OB PRINT IN INK)
<br />o o CITY OF SANTA ANA
<br />2()6 W. 4rh St.
<br />647-5800 /bt/*'
<br />APPLICANT FILL IN AREA BELOW
<br />NO,EACH TOTALO Fesdsnt,sr O rnou"r,'"r tscor."r",ar
<br />03B.!. Hot.l., ot.l.. Apt. Sq. Fr
<br />o2O.r. or C.rrortr Sa Fl
<br />50
<br />50
<br />JOBAODffESS
<br />-4.__./a
<br />I ProNEl'lt+
<br />30q n. /h tu)-,
<br />-t3r3 t
<br />(-(
<br />ctfa (1
<br />t ) utx.,r-,t-
<br />50
<br />)6 7do-
<br />approv6o Faclory wrcd Unrt 500
<br />500
<br />Bu€way8, spocial rac6*tys, und6r noo. cluct,
<br />lroll€y or pluo-in busways aa 100'
<br />10.00
<br />.50
<br />Firs Srgnaling Sysl6m. Mrnimum loe
<br />ourl€r. smoko or h6al s€nsor
<br />500
<br />r00
<br />Lighling Slandards wrlh Ona Larhp
<br />Erch Add'l linurc on sah6 slanda.d
<br />Iotili a$d.r O.d-rlb.r
<br />I h..bv.lftrfr 6.1 1.6 sx.mgr l@h th. Cont!.ro. . L€.M lrw ld rn lollowng 6.s tse
<br />7031 .6, 8!rn..! r^d Ptot.$6o. Co&' Ari' c!!y o. .oonv which r6qon.. . p.rmrr ro conllr*r.
<br />.hrr, Irhp.o'6, &molirr, d Bp.t 6y 3r,Erur., p(d ro rrt ir.umc., !l!o llqur.r rh. .pd'c.nr ld
<br />a{r' Fmn lo ti.. qtn d,.rsm rh.r hs l! lic..r.d pu6u.^r ro,E prdro3 ol lh. Co.r!.c-
<br />lo. . Lic..r, Lr* tchapr.r 9 lcornmencrng with S..tlm 70OO) ol Oeld 3 ol ltu 8oi.rt .id
<br />P6l6r!bn! cod.l G th.r h! '!.rempr rh.otro.n od rh. b.t.ld rrE.rb!.d.replo any vroL-
<br />tio. ol S.cto. 7031. E by .ny tpCE!.I lo. r ,.rmil nbirlr rha .pdiclnt ro . cNrr p.Glly ot not
<br />6d. h.n nE huh(trld rtott 'lil5oot'
<br />E S*,ixl zOlll l, !.owi.rol ltr rop.ny, driy dnt oyi.*rn w.c6!s trtr !d!com-
<br />r.nxdon. w l do rh. wort, .nd lh. .r^Erulo E nor inr'rdo.l d oli.6d td sL
<br />E S*ri, rO4S l. .s oqmr oi rhc plooony, !m.xdusv.t con!..r'.{ win h..!a M-
<br />t&lorioca.E lcr ti. pqlcr
<br />O.E- Ow* l$C.l-
<br />Ma,ni€nanca Psmrl (annual)50 00
<br />Up ro aoo amp3, plr m.1.,
<br />Ov6r 400 amps, pcr mrlar
<br />Ovor 1200 amp.. p., ftcr.r
<br />r5.00
<br />3500
<br />75.00
<br />15 00Signs end high @icnri.l gar rub€ li9hring
<br />35.00
<br />swfichboed, nblor conl.ol orrbr or luEpsnelr
<br />€ech
<br />15 00
<br />Torhporary con3lruclion molo. sswico pol.
<br />Each disl.ibulon polo
<br />15.00
<br />3.00
<br />PHONT
<br />AOOBESSt*Lot '1d4-4Lt^-
<br />lsrArE/zrPI I zts-t-
<br />olvs@ 3 or iho BE.ole .nd
<br />nTzq
<br />Coni''cro. Ur. Onty
<br />Tn)*r--,;H;;;;;;ffiPol.$d! cod. .^d hY F..s
<br />,i+l) t/
<br />,na., tu xo"i4rot orollr s.
<br />6 n tur ldE It dr-r
<br />T6mporery corukucllon lrghlrn0
<br />500 lamp8 or l33.
<br />Ovor 500 remp3
<br />2.00
<br />4.00
<br />nm. clock o. phoro alsctric c.ll 300
<br />POWES APPARATUS| G.n6rero6, moroB,
<br />lrinslormor3, roclilllr!, indudn.l h6.tin9,
<br />cooking, or baking oquiprnonl and olhcr
<br />apprrrt$ rr tollowr:
<br />lJp ro and incrudiog 1 HP, Kw, KvA
<br />Ovtr 1 .nd nol ovcr l0 HP, XW. KVA
<br />Ovor i0 and nol o/or 50 HP. KW, KVA
<br />Ov€r 50 and nol over IOO HP, KW, KVA
<br />Oe.r l0O lnd nol ovor 500 HP. KW. KVA
<br />Ovsl 50O HP, KW, KVA
<br />2.@
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />Itorlr,a Coorraaraatton Oadandon
<br />c.tukair ol c6enr ro sd!ne.!, o.. @.rni@l. ol l rbd..'sC@Don
<br />copy l! lir.d wirh tE C'lv \ildiry inlpocr'o d.p.nmonr
<br />I c.ilrt dxr 6 0t p.rto.ru... ol th. sdi ior whrch lhi! p6'hn
<br />'s 'e.d, I sh., .or @doy ..y
<br />Fr.o. n sy m.ilrl€( o I ro b.com. 3ubFcr ro rh. wbd.ls cmp..sr6 l*. o, c.lld.tr
<br />Loth. To ADpIcIrr:
<br />ll, rtr.r n t'^C lh6 Crrnor. or Erdnplq, y@ lhdld b.@. sbFcr lo th. t lb.id ! C@p.n
<br />a.to.' o.ovrro.! o, nE L.bo. Cod., yoo mu.r toihwnh compt wllh ech pr@!b.. o. ti! o..frir.i.l b. ddn d ltvot d
<br />I hor.by .flrm rtut I hM.
<br />$ion rnrr.E. Cortl€d
<br />*",,"*4 i'6
<br />o.$ lO',o'l ?
<br />PsnellY F6a (whan aPplicebla)
<br />Molirion F€. (minimum 335.00)
<br />P!.n Chcck F.€ {mhilrluln !1500)
<br />rc
<br />10 00
<br />IOIAL PEnXIT fEE {minrmum 33500):'---
<br />CxDdqr
<br />Ihor.rffi,Elr.lriDbylih'llrr@andb.co.n.null.ndvddrltn wqtroltdiadbytir!..n n
<br />mr.u rrnc.d wnhin 180 d.y!,.m lh. d.r. ot th6 p.mn d l' wt tudur.d br tri. C.mlr k
<br />rr$..d.do..b.ndo d rl lny nm..tr.. nE *st is c66..c.d tor. p.ood ol l8O tLy! An *
<br />p.rmh .ndl b. obr...Ed lirn b.ior. a,ch wort ctr !. ..cdwn .!c.d
<br />AgCc-t'. D.d.|lbrl
<br />I crlt rh.r I h.E E d rh6 ,Dd'c.t'o.r ..d !r.b rll.l t l. rbov. i.lohrto 13 cd&r I i9... 1o
<br />.mdy *6 .i c'ry dd..rE ..d i.r! hr! ..l.rr9 to b(rldrO .d.rrucrrd, rnd hf,.n'r rutla
<br />r|r. nCi!!n!.t'nr ot lhir city ro..r.. upo. rh. .bo66.m'o..d ,r.C.ny to. i.lFcto,r Br@r!.
<br />wn-l-0-Q.Q-t1
<br />^oorEshr
<br />d as6nr rsil
<br />orrt /o.4a. * 1 PEBUIT TO.
<br />1.
<br />PERMTT lSSu€D BY lsir I
<br />AUILUNG 2 6,//',
<br />PEAl/irNo t'"1 dd/ wFlaEoBYrs{.|
<br />/iltVALIDATION (OFFICE USE ONLYI
<br />rAcco{,NT,]1-413)
<br />Distribution: l.lnspoctorCopy 2 FileCopy 3. Finsnco Copy 4. ApplicsntCopy
<br />@c
<br />Ezo
<br />oo,
<br />a
<br />t
<br />S
<br />lo
<br />,,**N.eYq ss{ c,"- ( lo s,ns".* otls*2t
<br />ut I o. aa. !1c-no., r",rl4-d
<br />I
<br />20 00
<br />Swrmm,ng pools. lounla,ns, spas
<br />I
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