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<br />''r r(rr.l (zr9
<br />-Atq<,. .r/c-otto
<br />OWNER
<br />4a-r.t-'-<-^)
<br />7tn4r-
<br />13rf(,r Il er-a-A- / .7t *L
<br />,(Z
<br />STATE i ZIP
<br />XResrdentral lnduslrial Commercrat
<br />i
<br />-" i,o", I rorAL
<br />Res. Hotels, Motels, Apt. Sq. Ft | | 17-1
<br />I
<br />I
<br />03 39.3o
<br />Gar. or Carports Sq. Ft.43'02 y.7 E
<br />Receptacles 50
<br />Switches 50
<br />Ow.rrer Bu ilcler Decla raltion Fixtures 50
<br />Air Conditioners
<br />Each I 20.00 )b, oo
<br />Approved
<br />LiSI
<br />Factory Wired Unft D. A.D P lFood 7 5.00 3.1. o o
<br />Busways, special raceways, under floor
<br />duct. trolley or plug-in busways ea. 110'or
<br />traction thereof /5.00
<br />..5-'D
<br />Fire Signaling System. Minimum fee
<br />Outlel, smoke or heal sensor
<br />10.00
<br />.50
<br />Lighting Standards wilh One Lamp
<br />Each Add'l trxlure on same standard
<br />5.00
<br />1.00
<br />Maintenance Permit (annual)50.00
<br />CON TB AC TOR
<br />,'jt c -/o
<br />15.00
<br />35.00
<br />75.00ffi7
<br />Service Meters
<br />Up to 400 amps, per meter
<br />Over 400 amps, per meter
<br />Over 1200 amps, per meter
<br />Signs and high potential tube lighting
<br />Swimming pools, tountains, spas
<br />Switchboard. motor control center
<br />Temporary custruction meter service
<br />pole
<br />Each distribution pole
<br />Time clock or photo electric cell
<br />POWER APPARATUS: Generators,
<br />motors, transformers, rectiriers, industrial
<br />heating, cooking, or baking equipment
<br />and other apparatus as tollows:
<br />Up to and including 1 HP KW KVA
<br />Over 1 and notover 10 HP, KW, KVA
<br />Over 10 and not over 50 HP, KW KVA
<br />Over 50 and not over 100 HP, KW KVA
<br />Over 100 and not over 500 HP KW, KVA
<br />Over 500 HP, KW KVA
<br />Subtotal
<br />Penalty Fee (when applicable)
<br />Volalrcn*ee _tc
<br />Plan Check 65"/o of subtotal
<br />Receipt No Pc#32 Date
<br />Plan Check (Adjustment)
<br />lssuance Fee
<br />TOTAL PERMIT FEE
<br />15.00
<br />35.00
<br />15.00
<br />/.f,oo
<br />/S-o o
<br />CIT
<br />I hereby alfrrm that I am licensed r
<br />Lrcense
<br />o/>t52t*z-74,
<br />&511)
<br />#o-ffi (
<br />rnder the provrsrons ol Chapter 9, Drvrsron 3 ol the Business and
<br />and mV hcen$ rs in lull lorce and sllect 25.00
<br />5.00
<br />3.00
<br />2.OO
<br />5.00
<br />10.00
<br />20.00
<br />30,00
<br />40,00
<br />Crly Licensea
<br />Conuacro. (Srg )
<br />Workers Compensation
<br />Temporary construction lighting
<br />500 lamps or less
<br />Over 500 lamps
<br />2.00
<br />4.00
<br />I hereby alltrm that I have a ce.tilEate ol congnt lo sell-insure, or a certrtcale ol Worker's Compen-
<br />t^e Crty burldrn deparlmenl
<br />I certrly thal rn the perlormance ot lhe work tor whrch shall not emoloy any
<br />#:'" ^"
<br />t r l-(--?a,//_tt7 / ,.r
<br />Notice To Applicant
<br />,:
<br />E x pirat iorl
<br />Applicant's Oeclaration
<br />jil,..
<br />,,l...rr,,rtrr,ttl,lrijllrr'l
<br />(50.00)
<br />(minimum 20.00)
<br />(minimum $35.00)
<br />PERMIT NO.
<br />10.00
<br />,",.1 l' 2- f,cl ooou."", ", onu",,,
<br />BUILDING
<br />PERMIT No dhtof vrB,rrDBY sq -\(-
<br />VALIDATION IOFFICI USE ONtY
<br />(ACCOUNT lll 413)
<br />PEBtvllT ISSUED BY lSrg )
<br />yLbsT
<br />|rlm/8P trt5941 tl$ tlv.58
<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(I YPEWRITE OR PRINT IN INK)
<br />e O CITY OF SANTA ANA
<br />206 W 4rh St.
<br />667 -2738 \v
<br />APPLICANT FILL IN AREA BELOW
<br />@Iroz
<br />6)
<br />oollmaa
<br />s
<br />F
<br />I
<br />ir
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<br />Distribution: 1. lnspector Copy 2. File Copy 3. Finance Copy 4. Applicant Copy c s 613
<br />/
<br />/27 ly
<br />;Prrtd,
<br />o^rE //- Z- f ?23!
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