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JOAADOBESS d, l1*;," r.\, l
<br />E ncsldonriar E rndusriat ftcommerciar r{o EACH
<br />8... Hot l., Mot.l., Apt, Sq Fl 03
<br />G.r. or Carporta Sq Fl 02
<br />50
<br />50
<br />Orn r-Buld.. D.dt tlorl
<br />r lr...6v.lr,m t'l.l r.m oEmpr t@ rlE conrra.lol. L'c6n36 Lew lor ris t
<br />70315, &!i 3r fid PrciollbnB Cod. Any crry or cornt v,hrcn
<br />rllor, rmprcv€, d66ol'rh. or Bparsny srucru.a, pr'd ro Jil
<br />'s!Da
<br />roqrrot dE aoDl6r ld
<br />.uch 0.16rr lo nb a $md ll.rom.r ln.t lE '.li@-d r lo lh. profiid! ol rh. coflr&
<br />rd'! L'c6n$ L!* rcn pl..9lc@lilfringwrh 700Olo, Oivrs'on 3 ol th6 80nms3.d
<br />kolos.@s Codol d rh€r h6 6 6x.mpr r d rh. b8lE lor 0E .rl6!!d .xefrprrm A.y soL
<br />!o oi S&rs 7O3l 6bv.nv.ppl !arm( $bpcrs rha 69plrc.nl lo r .Ml gonalry ol not
<br />6orc lh.n iw huidrsd dolla.s l3
<br />! s.c@n 7oa4a or rh. p,op.rtv. or 6v .mproyss hrh wag!! as rh. $L com
<br />t, .nd $s $rudur. r! not nred.d d ofhrod lor sab
<br />n 7ozl48 1,.!@E.ot rE p.oporry,.m oxcrosrvsly cont.crrnc urh rc.nr.d cF
<br />Contrlctor Ut Only
<br />fJ. 6.t/--4_4
<br />T5o t eza#aT*tqA.ih\,f^ -*a-/a sI E
<br />>--')D
<br />I hr.ty .tfifr rh.r I rn lic,rd un(l. 0r ,ovdo0o, Ch.pr.. 0, Oivis.r 3 ol lh &trl.t. lld
<br />M.rtin Co(b, ,6 my L6$ tr '^ lul dc. ,!d .lrer5 t a .6.ru5 :#c
<br />-t,+-<1
<br />Wo.l.6 Comp..[tlon D.cl...tloh
<br />rn!u@, or.c.nrrctraoll ibrka ! C6O.h
<br />ng 'nsp.cro. &p.dmnr
<br />I c.nit lh.r h t !€ p..to.mxr. d rh. wo.t td *h.ch tll. p.mr i! Bud. I $5rl not oEplov 6.y
<br />p.6oo ii .ny m..E e .s ro b.co.E eq.cr ro ttE wdt.r'3 comp.n$lon L!*. or c!lit66
<br />O.r.- applE.nrlse.l
<br />taodo. to Apdcrn:
<br />f , .t . mr*'n9 rn'. c.nitElr. oi Ermpnd, yd shodd b-od slbjrrl ro h. l^,orr.r'l Co.nro.
<br />xth. !.dii6. ol ,. bto. C6do. ydr mu$ lorlhwilh co.npt kth luch Drosliont o. tn! p..ml
<br />.hdl b. &.nrd ..rot d
<br />50
<br />Each
<br />2000
<br />Apprcved Factory Wir€d Unn
<br />Lrsl
<br />500
<br />BuBwaya, loacial rtctstya, undtr lloor duct,
<br />lrollcy or plu9-i. busway!.a. 100'
<br />Frr6 Sionalino Syslsm Minimum 166
<br />Oulld. .mok. or haal r€nror
<br />10.00
<br />.50
<br />Lrghling Srandads lfilh Ono Lrmp
<br />Each Add l lnuro on 3amo slanderd
<br />Mainionanco Pomii (an^ual)50 00
<br />up lo 400 ampr, p6r mslat
<br />Over rO0 emp6. par m6!ar
<br />Ov€r 1200 amp8, p6l m.lor
<br />15.00
<br />35.00
<br />75.00
<br />sr9n3 and hrgh potantiel oas lub€ lighling 15 00
<br />Swimming 9oob, lounlains. spaE 35.00
<br />9 nchboad, nrctor control cantar or auhanala
<br />Each
<br />15.00
<br />Tomporary conlrrucrbn m6ror saflico pols
<br />Each dElribulon pol6
<br />15.00
<br />3.00
<br />Tornporary con3lruclion lighling
<br />50O lampr or 1.6!
<br />Ov6l 50O lamp.
<br />Tim6 clock or pholo eloctric c6ll 3.00
<br />POWEB APP BATUS Gcn..aloG. molol!,
<br />ran8lormorl, .eclilir6. Indu rial n6aling,
<br />cooling, or baking aquipmonl and olhar
<br />apparrlw .3 lolloei:
<br />up lo 3nd lncrudlng 1 HP, Kw, Kva
<br />Ovcr ! end nol ovar l0 HP, KW, KvA
<br />Ovd l0 and nor ov.l 50 HP, Kw. Kv
<br />Ovor 50 rnd nol ovlr l0O HP, xw, (vA
<br />Ovlr 100 end nol ov€. 500 HP. KW, XVA
<br />Ovar 500 HP. KW, KvA
<br />200
<br />500
<br />r000
<br />20 00
<br />30 00
<br />40.00
<br />' Erpdoli
<br />Ih.r r..6rr dull.rO.! by lidt ton md b6cdn. tull rnd vod il ln6 wdr 6uthonDd b! th'! p.mn ls
<br />norcomm.nc.dt$t{n 1EO&y! l,om lh. &r. ol lh'sp.mnd n wort.uthdu.d by h'ro.nr 6
<br />n+.hdod d .$ndoi.d rr .ny lrr'. .tr.. rh. wdt b cmmrcld ld . p.rin or IAO d.yi A r*
<br />Fmirlhdl b. oOl.dr.d lr.r b.d. &ch worl cs b...co.nm..E d I
<br />lpelcfi'. O.chndon
<br />I otuiY rtur I h.6 rEd rhl..opllc.ron 6nd 1l!t. ln.! lho.bo6 'nldh.ton,s c@al r.ga d
<br />cdnpt *hn .n olv dd'nlnc6r lno !t!ro Ld 6r!r'n9 lo bu'k .0 c@!tcto, lrd h...bv lqrhc
<br />@rGp6int 16! ol th'. ctry ro 6.r.r upo. rh. lbod-m^Idrd !.oo.rlY ld.loerM prr.Do6!
<br />AoolE .l or Aoenr (Slo I
<br />Lna
<br />Sublotal
<br />Ponrlty F.o ($6n applicrbls)
<br />violaiidn F6o {mrnrmum 135O0)
<br />Plan Ch6ck Fs€ (minrmum 315.00)
<br />PC No-
<br />r000 t.\
<br />TOTAL PEBI @"on f4 I IT
<br />SUILDING 411b1u, *,,ou,,",n PIFMII rSSU€D gY lS€ I
<br />8/t4/gl 9.1?t*1 {13
<br />\AIIOATION IOf FICE IJSE ONTYI fJ).m
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWR]TE OR PR NT IN INKI
<br />o o CITY OF SANTA ANA
<br />206 W. 4rh Sr.
<br />647-5800
<br />APPLICANT FITL IN AREA BELOW
<br />o
<br />Distribulioni 1.lnspoctorCopy 2. FileCopy 3. Finance Copy 4. ApplicsntCopy
<br />@vn
<br />ffi
<br />6Y ls,c
<br />I (S'O
<br />TOTAL
<br />500
<br />500
<br />1.00
<br />200
<br />400
<br />\X I {faoL- rrilqe.
<br />I
<br />I
<br />l-
<br />E!
<br />Ltl
<br />=t-
<br />@c
<br />Ezo
<br />E,
<br />xv,
<br />I
<br />l
<br />lN
<br />lop
<br />L
<br />It
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