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<br />MAILINGADDFESS
<br />crT a
<br />JS$""^n0 Residential tr lnd/slrial NO EACH TOTAL
<br />Ros. Hotola, t otol!, Apt. Sq. Ft.03
<br />Ga,. or Ca,port! Sq. Ft 02
<br />Boceptacles /,)50 A
<br />Switches 50 d
<br />O.rE-&Jaa lracLr.ioil
<br />I n lby drm ,!.t I .m .I.ni Lm rh. Co.t ctt'. Ltc .t l. w ld lh. ,olrowho ,t !o.r (S..
<br />7031 .6, 8.!iE . .nd Prclordofl Cod.r Any ciry or c@nry wnicn tsquitu . p.rfirl lo co.nrucl
<br />.ti... imFM, d.noN!h,dr.p.{.iy.ouctu, droitrisJ,m., d-r.qor.trtE.p9tonrld
<br />rrch p.. .l ro l'5 . acDd n l..n th.l h. l! lic.n-d ,o,unl lo th. o.os.io.. ot lh. c@lr.c
<br />ro.'. Lis!. L.w tch.prd I (co6m.ncm! wilh Srcnon ,000, ol t s.io. 3 ot lh. EoaNL.n!
<br />Prol.no cort lo.rndh.ir.r.60rosrlldn.ndrr!.b.s!to.rh..x4.d.r@prih A^Yvd!'
<br />do. ol S.crron 7031 5 by .ny .Crli...l d . Frnil }Jbl.cit lh. .9!iic!.1 !o t civil p.h6rlY ot nor
<br />mm 6.. fiv. hund.ld donr3 I t SOO|l
<br />E s-r- ro,ul l, !. sd ol th. ploo.rty. o. my .mploya! wnh *.o.! !t rh.tr lol€ .o.n'
<br />p.n!.i.., wn (b Ur wod, .rd rh. 31Mtu.. l. nor .^Dnd.d o. ofl.Ed lo. t l.
<br />E Selon TOaaB l, !i own . ol dE ,rop.,ty. .m.rctu$nly co.mrcma sttl ric.nt , co.i
<br />,rlo.! rocNulEl dr o.orer
<br />o.i.- OwMrsE,-
<br />Fixlures ao 50 /o-
<br />Air ConditionersEdr
<br />m.00
<br />5.00
<br />Bu$vays, special rurlays, undgr foo.
<br />drrd, tdlsy or plug+ hr$tays e8. 110' or
<br />tractioo h€r€(
<br />5.00
<br />File S'gnaling Systern. Minimum te€
<br />Outlel, smoke or h6at sensor
<br />10.00
<br />.50
<br />L'ghlhg Sla0dards with One Lamp
<br />Eacfi Add l lfxluls on sam6 slandard
<br />5.00
<br />100
<br />Maintenanc€ Permil (annual)50.00
<br />Cooir.cror U.. Only
<br />€J&^?Bq J -o Sr.
<br />15.m
<br />35.00
<br />75.00
<br />Signs ard h€h potential gas lube lighling 15 00
<br />SwimmiE @s. b(lrllains, spas 35.00''84;fr
<br />rhs oros.rn3 ol Ch.9rfi 9, O'vr3Do 3ol lh!g!!'n63
<br />Cro og7 q1z
<br />D...&_lolb c6r.o,". isiq.r
<br />Ito.L-r CoarDalado.l Dadtadott
<br />I naraB atlm lh.r I h.6 ! conilElro ol c@$r lo xll]n&,.. d 6 c.n'1.61. ol wqtd t Codra..
<br />srrd l.&r.@ C.nraorl co9y i3 til6d wrrh lh. Cty boidrnc rnla.cnon dGp.nm.nl
<br />O.t E{a!!__\t t d6v rS,C r--
<br />o.r.- Aodt. tsE I
<br />iaotlo. To Algacd:
<br />[, .tE n riic ti! C..rnc.b ot Er.hpioi, vou lhdld b.cod. tutt d lo rh. vr'o.t.al Corno.G
<br />rno.r p.osaon! ol !h. L.bor Co.L, you mun lodnwnh complY sth lch p.@!@. d rhd p.6'l
<br />tul b. d.€nf,d 6vot6d
<br />Swit$board. rnotor conld c6ibr or $'
<br />.^gteh
<br />Esarl
<br />15.00
<br />Ternpo.ary construclbn meter service
<br />H& o,*"n ,o"
<br />25.00
<br />5 .00
<br />Terporary construclion lighting
<br />500 lanp6 or lass
<br />o\/€r 5m hrps
<br />2.00
<br />4.@
<br />Time dock or pholo el€cfic cell 300
<br />Po\I/ER APmRATUST Gener€dors,
<br />rnolors, trsns'iofi€rs, lDclifers, industdal
<br />hedilg, cookirE, or baking €quipment
<br />and olher apparatus as iClor,s:
<br />Uo to and includino 1 HP KW. KVA
<br />o\€r I and nol o;. lO HP, KW KVA
<br />o\/Er 10 end nol o/€r 50 He KW, KVA
<br />O\€r 50 and nd o,€r i00 HP, KW KVA
<br />o\/er 100 and nol ovBr 500 HP, KW KVA
<br />ot,Br 500 HB KW KVA
<br />2.@
<br />5.00
<br />10.00
<br />20.@
<br />30.00
<br />,+0.00
<br />2
<br />Subtolal
<br />ErDf.ddr
<br />lhi! c.nir.h.ll.r*. by limibto. rnd b.cori. null .nd 6d n $. wqt.ulhont.d !y r't. Fmil 'rnor corndli..d wiftn lEo &y. tmrn t\. d.r. ol thit Fn[ or d N/..t .urro.rr..l bY dt !.mn '!al,..rbd q &..do.rd d .ny dm .il! dr im.t it corimnc.d d . p.md ol 180 d.Y. a n.w
<br />o..mit cEu b. obt rn6d nd b.loB sch *o* c.n b. r.commlic.d
<br />acglcr|l'! D.ol-ado.t
<br />I c..r y tur I he n d u6 .!cl€.doo .nd lut d$l lh. .bov. l.lom.ll6 i! 6n Ecl I .9t.. ro
<br />comDly wirh .ll cny dd'^.N.! .nd tur. bw. ..Lt.! lo buld,tg cduttEl,o., ..d ht bY turha
<br />.i,. Eo..snr!1'1/.! ol rhi! civ ro.^r, upo. ri. tbol.-rn nt'dEd p.op..iY lo. intp.clid! potpoa.s
<br />S tolto B
<br />Panalty Fe6 (wh€n applicable)
<br />Violation F€e (s0.00)
<br />Plan Ch€ck 65% ot sJbtolal (minimum 20.00)
<br />R€caipl tlo Pc 1l Date
<br />PIan Check (Adjus,tment)
<br />10.00
<br />TOTAL PERMIT FEE (mhlmum 335.00)3{-
<br />2 61- 18DATEPERMIT
<br />AUILOING 0lo'/vEfirFrEoEYr9c r PEiMll ISSUEDBY(Slg
<br />U L
<br />B/LO/90 {(}}t +15
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPFWRITT OR PRINT IN INK)
<br />a o CITY OF SANTA ANA
<br />206 W. 4rh sr
<br />ffi7 -2738-/n tr/prc ,h'--
<br />APPLICANT FILL IN AREA BELOW
<br />@g
<br />oz
<br />oo,
<br />l:
<br />N
<br />k
<br />t$
<br />l(
<br />\
<br />l^d
<br />Distribution: 1. lnsp€cror Copy 2. File Copy 3. Finonco Copv 4. Applicant Copv c.s '613
<br />N
<br />o Q /O.
<br />I
<br />Apgo\€d Faclory WiGd Unil
<br />List
<br />Servica Meters
<br />Up to iloo anps, p€r m€t€r
<br />O/Er 4O0 arnp6, psr rneter
<br />Olq 12m srnp6. per rnstsr
<br />lssuance Fee
<br />\ALIOATION IOFFICE USE ONLY)
<br />laccouNrall-/r131
<br />-TPHoNE-
<br />f-zJ: -ssro
<br />I conrly rhar n lh. p..tmlnco ol !h. woit lor whch lir! p€h 16 r!3rsd, I 3h.rl.ol mplol lrt
<br />o6,$n 'n lnv h.nB s.i ro boc@. $n et lo t {rtd'lp'6o.n3.re I.B or q.lld.{
<br />"","9
<br />-LO t6 Apo,iclni,s,e, Xl ). b,9^ " --t X
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