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APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWRITE OR PRINT IN INK)
<br />O .,r"oraoNrAANA
<br />20 CIVIC CENTER PLAZA
<br />834-4186
<br />o
<br />APPLICANT FlLt IN AREA BELOW
<br />@c
<br />9zo
<br />oIt
<br />N
<br />X"AiS- -t, /,ton -.--Xq"""E aesdenlj.r E tnousrna to EACH TOTAL
<br />n.., Hot.t., tror.t8. Apt, So Fr 03
<br />G.r. o, C.rport. Sq Fl(t :A )b-
<br />tL 50 b-SIATE/ZIPCITY
<br />7\)1..9
<br />I {'20 00 +
<br />2-Approv€d Facrory Wned Unri 500 /b-
<br />Bu3ways 3pocial recoways. und6r tloor oucl,
<br />trollsy or plug-in buswayE oa 10O'5.00
<br />Ftr€ Siohahng Sysrem Minihum l.e
<br />Oullel. smoke or ieal s6nsor
<br />r0.00
<br />.50
<br />5.00
<br />1.00
<br />Own r{dld.r H.r.do.r
<br />lh€Eby8finm 6.r lrfr erempr lr@ rlE Co.r,.cror's L'cen* Law fd the lolrow.g r@$n lsec
<br />703r.5, Busin ss and Prot*sn ns Cod. A.v ciry d c@nly which i€qunos a pon ro co.srucl,
<br />.lr.r, impror, dsmolash, q @p.i 6ny s1r!ctor6, 9r'or lo
<br />'ls 'ssu.ne, .le equ@s lhe apphc.nl tor
<br />luch p.rm'r ro lils a signad srira@.r lh6r he B lE6ns.d pu6@nr ro rh€ provrs@3 ol rtE c@rac-
<br />ror's LEsn* Law lch.pro. 9 lcoomon
<br />'ng
<br />wrh Slcrlon ?000, ol DMeon 3 oi th€ 86n6$ ahd
<br />ftoreieons Co&l d lhar h6 6 6r.opr rh..ot.m .nd lh€ b.es ld tn€ arresed er.6oion. Ary llora,
<br />rid ol S.cto^ 7031 5 by .ny .polt.nr ld a p6mn .ub,ocrs rne opprica $ a civrr O.n€ty ol nor
<br />more $an nw hundr6d dolhrs ( S5OOI
<br />I Seion 7O44A I, as own€r o, rho plopertv: or hy 6mproy6es wiin wso6s 6s rh6( sore com-
<br />p6.$rio., will do rhe wo.k, .hd rh! srrucro€ E nor 'nl6nd6d or oltered ,or ele
<br />E S.cl'o. TO aB l, rs o*n, ol the proporg, 6m €xclus'wlr comra.rno wrh lEo.$d con-
<br />lnctds to coNrucr th6 9.oFcl
<br />D.re- ow.e. isig
<br />Mar.renance Permir (annuar)50.00
<br />Conrrrdo, Uaa Only
<br />COIITBACTO'/ffi-,azt-t {-4r/-PHONE/7/)ltr Up lo 400 emps. ixr mdsr
<br />Ov€r 400 amp6, psl lnrler
<br />Ov€r 1200 !mps. pe, mcler
<br />15.00
<br />35.00
<br />75 00
<br />Signs and hrgh polontaat ges tube tignting i
<br />s*immrng poors, lountains, spas 35 00
<br />$vhchboard, molor conlrcl oanler o. aub.panel8
<br />Each
<br />r5.00
<br />Temporary conslruclion m€lar a€tuica pols
<br />Each distibution pole
<br />15.00
<br />3.00
<br />I h..eby .t rm thrr r .m r6sn$d under rh6 povrsions ol ch6oier 9, Division 3 ol rh€ Edsrn$s 6nd
<br />Pror.$ions Cods, ..d my license E in lurl lorce and en@r
<br />s izP
<br />2c
<br />4 d 2_/"-
<br />200
<br />a00
<br />Tom9orary corulruction lighlingg)0 lamp6 or less
<br />Ov€r 50O lamps
<br />Tirn6 clock or photo glectric csrt 300
<br />POWEA APPABATUS: Gsn.ratols, molors,
<br />ranslorm66, r€ctili€rs, industrial h€aiino,
<br />cooking, or baking equipmonl aod olhor
<br />epperalus as lollows:
<br />Up io end including I HP. KW, XVA
<br />Ov€r 1 end nol over !0 HP. XW. KVA
<br />Over l0 and nol over 50 HP. xW. xva
<br />Ovor 50 and nol ovsr 100 HP. (W. XVA
<br />Ovor 100 and nol ov€. 500 HP, XW, KvA
<br />Oroi 500 HP XW. KVA
<br />2.00
<br />5.00
<br />10.00
<br />20.00
<br />30.00
<br />40.00
<br />1frd..6 CorrT..l..don D.cbr.rfo.t
<br />I ha.oby aftm ih.r I h8w a con'l'6r. ot con$nr lo ell-osurc, or 3 cenilicale ol Wod.r'3 Compen-
<br />I conifu rhar '. th€ p..tona.ce ol tns wo.t ior whEh ihis lErhll rs E$ed
<br />p..sn in .ny m.nnor .o .s ro bocome subiea ro the Vvod<6r's Compen$r,@ L.*s o, Car'tornia
<br />ottc. To ADplcd:
<br />ll, slt6l hakinq rhB Cr.rillcale o, Er.mpnm, you 3hould b.cme sob,Et ro lhe W@tor's Cmpen
<br />er,m orovis'o.s ol rha L.bor code, you mu$ lo.lhwrlh co.noly wllh such prov'!ro.! o. lhis !€mir$.rl b€ deemod ovok.d
<br />O6re Apprica^rls!
<br />7q.,rz
<br />Penally Fs? (when apphcabl6)
<br />Violarion Fee Iminimum 135.00)
<br />10.00
<br />\nt e:nrr rrr (hnimgh 33s oo)7q,s,
<br />E (9Ho.l
<br />Thrs p€rm'lshatlexprc by lrm'6r,6 6.d b@rn nulr.nd vo'd d rh€ wqt surhd'..d by rh6 p€rmrr rs
<br />rc1 cofrh.nc€d wihh 180 d6ys lr@ rhe d6e ol lhl! o..mfoi i, wdl 5uth6E6d by rh6 pe.mn
<br />'s3usD6.ded d ab.nd6.d .t.^v rdn€ arer lha wort E co6e.nc.d lor a D.nodol180 drvs A,w
<br />p6mtr sh3ll !. otrrned n.sr hio.6ruch worrca. bs lscoodencrd
<br />App{canr'a Harailon
<br />lcenrtylhar lhsve r.6d rh's 3ppl'et'o ..d al8le fi.r h. abow..lom8l'@ 6 csel l39.os lo
<br />comply *irh 6llcirv dd'^....s..d sl.le laws.6l6rn9 lo bu'rdno consrtucr'o^, a.d h.,.bv.ulha
<br />ruercpre*nrsnvesol lhrsc't,y ro en|el opon rne.bove.
<br />/","h{e -- (z-/Y- Yb PEFTI' IIO
<br />?t*ilshl?, u,,,,o,,,", n,,4a, /---PEiMII ISSUEO 8Y I SB
<br />5AiR 151 9950=b 3183t
<br />VALIDATION IOFFIC! IJS€ ONLY)
<br />tAccouNT ,]r,4r3l
<br />Disriburion: l.lnspectorCopy 2.FileCopy 3 FrnanceCopy 4. Applicant Copy
<br />o2
<br />50
<br />50
<br />Each
<br />Ljghling slandads w,th one Lrmp
<br />Each Add'l tnure on 6ame slandard
<br />15.00
<br />Pran Chack Foe (mioimuh 315.00)
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