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APPLICATION AND
<br />ELECTRICAL PERMIT
<br />{TYPEWRITE OR PRINT IN INK)
<br />o o CITY OF SANTA ANA
<br />206 W. 4rh Sr.
<br />ffi7 -2738 lffi
<br />APPLICANT FILL IN ABEA BETOW
<br />@g
<br />ozo
<br />oo,
<br />(.tl
<br />[.rJ
<br />Ln
<br />g
<br />N
<br />x
<br />v
<br />x
<br />X*"*ntial E lfttustrial E Commerciel NO.EACH TOTAL
<br />03Res. Holols, Molols, APt. Sq. Fl.
<br />.o2Gar. or Carportg Sq. Ft.
<br />Rec€ptacles q .50 q.50
<br />3 .50 l.g)
<br />JOBADDsTSS
<br />SIATE/ZIPcllY
<br />CA
<br />2233 S. oak
<br />-467 4
<br />same
<br />Santa Ana Swrtches
<br />Fixtures 3 .50 1.5)
<br />20mAir Co.ditixErsEdr
<br />AppolEd Feto.y VfrBd Unil
<br />List 5.m
<br />BustEys, sp€cial ret|ays, wxre. froor
<br />dud, hley or plug+r hJsrays ea. 1r0' or
<br />frrctififlelBd
<br />5.00
<br />10.00
<br />.50
<br />File SgnalrE Syslem. Mnrmum fee
<br />Outlet. srnoke or heat sensor
<br />5.m
<br />1.m
<br />Lqhlrng Sta{ldards with Ooe Lamp
<br />Each Add'l llxtuE on same staidard
<br />Orlra-al|..O.ffiG.l
<br />I hqlOy .iim lna I .d .I.nrpl ton rh. c6telc't tit6. L.* ,, ltr ioro*i,tc l!e. lsc
<br />703r.6. 8utit .. Dd h..-.. C.d. Arn qry d ccfty wt!.h llqunr. p.rfrl ro cqEt*i,
<br />.li, iip,!., d.iolbh. o.60.r...!v nr\rctu.., p,!o. lo it irr,!E, ,bo rtqurll ,r. lpcli,r.l ld
<br />rrcn !..nn b ita . igf,d ri.bri-r tnd h. a lrG.d ofrx.l ro ttt ,o\,aoi. oI dr. co .c.
<br />6. r Li(r.r Lrw lCtu Lr 9lconm..'ch! *ir! S.cIol 70@l o, Oiirlo.r 3 ol nl &.r-. rd
<br />fu.-drc.(bl d r.l h...E pr d!...tmr'd dr b.l.lo. dr.L!-.r..!c!o. nYioll-
<br />rbnol S*do.703!.6by !.ry.cdic$r lo.. p.rr'{rlbicl. n lporc!.il lo. clvrl p.idty d rct
<br />dlqr rhr! hn hJndld doi..i l alool
<br />E S-ri" fOree l. .o oii.. ol,. p.or..ly, o ny intlov..r with *ar.r !!,t, $b cdF
<br />Ddsrb!wrr&!t wo.r,.nd lt'. filct ! i. ml inL.d.d d on ..d io. ..L.
<br />E S*!.. rO{e l, .r wrf, ol tn. p.or..ly. .6.r.lor€ly coLctiE wio lictn!.d c.+
<br />tlclo.t ro ccnnrud nr liol.cl
<br />D.r.- ow ls{.'
<br />Maintenance Permit (annual)50.00
<br />15.00
<br />35.00
<br />75.00
<br />Service Meters
<br />Up to 4O0 amps, per mel€r
<br />O/er 4O0 amps, per meler
<br />O\€r 1200 amps, p€r m€ter
<br />Signs and hrgh potenlial gas tube lighling 15.00
<br />Swimming pools, lountains, spas 35.00
<br />15.00Swibhboard, mo{or control c€nler or sub-
<br />panols
<br />Eaafr
<br />Temporary construclbfl meter s€rvica
<br />E3&, o,**- oo"I
<br />25.@
<br />5.00t"tr",$tiqtrir:
<br />o",.1;144@",,*,",,
<br />rh! p.ovaonr otch.prd L oMlon 3 ol rn.8uen.3!..d
<br />Cont cior Ur. Only
<br />PHONI
<br />832-3528
<br />SIATE/2IFCITY
<br />I
<br />17 82 La Collna
<br />Santa Ana
<br />2.00
<br />4.00
<br />Temporary constnrc{bn l(lhting
<br />500 lantps or le$s
<br />o1,€r 500 lanps
<br />Time clock or photo elect ic cell 3.00
<br />2.@
<br />5.00
<br />10.00
<br />20.00
<br />30.00,o.00
<br />PO\ ,/ER APPARATUS: Ge.lerdors,
<br />rnolors, transfumErs, teclifiers, hdus{ial
<br />healiE, coddrE, or bakrE equiprnsnl
<br />ard c,tl€r apparatus as tCloivs:
<br />Up to ard inctrdrE 1 HP, KW, KVA
<br />O/er 1 and rd o/er 10 HP KW. KVA
<br />O/Er l0 ard nd over 50 He KW KVA
<br />O/Er 50 and nd orer lm He KW. KVA
<br />O,er lm and nol o\,er grc He KW KVA
<br />O/er 500 He KW KVA
<br />lvorf-. Co.rD-a.doo D.dfftb.t
<br />Ih@.csllt{rr. olco^!a.t ro-n{.&r., o,.c.n d. ol Wo.rr't Cmp.n'
<br />D.ndr ic. oi ,r wo.r ld wn.h ,16 p.d.|t ll.!.d. I !h.ll ml.hrby rny
<br />o.,.o. n ,r rudrr - e ro b.co.r. a*irl to rtr ltb.tr'! Co.n!.G.ton Lrwr ol Cddo.n6
<br />lr.b AOOrc.^l ls'q l-
<br />taodo Ib l-aa.lc
<br />ll..t.',i.rhg ta C.rtfic.r. ot ErmDlon. yoo.lEUld bd.n !q.cl lo t!.li.o.rr'. Cdic..r
<br />-lin qsviro.r ol d!. L.!o. cod., yar med ,o.irMln corncy wrh l,ch !.o"ll|8 o. rhr p.ml
<br />rtf,l b. ffi rvd.d
<br />co9y E nbd wrn rh. CtlY
<br />Sublolal
<br />Penatty Fee (when applacable)
<br />Violalion Fee (50.0O)
<br />(minimum 20.m)Plan Ch€ck 650/" ot subtotal
<br />Receipt t'lo.Pc#Date
<br />Plan Ch€ck (Adjustmenl)
<br />lssuance Fee 10.00
<br />TOTAL PEBII.IT FEE
<br />OATE
<br />(mlnimum $35.00)
<br />PEnllrixl. 257
<br />Erylr0o.l
<br />Thh F.nn ndl oslr !r !tur.tfi..{ !.c!.8 nul5.l '/ad n 0x *o.r .urhdu.d br dt . p..rnn 'r,rdcd r..d rlts l8O d.y. ftcn tl. d.r. ol ta p.ftd o.,l wo.t.uthd.d bY thit F.mll 6
<br />iDid.d o..bn lor.d n.ny tnr..tl,,xwsr bco.i,r..tc.d lo. ! t .od ol l8O d.Y.. A l0
<br />Drrn&$.it ooLl..d ltn b.ldr rxh wo.t c,l !. t .orrldt lc d
<br />AcCc.!t'. Daffioo
<br />I c.nit ,l.r I h.\n l..d rhr .pdhltlo ..'d rlrr rh.l ,x .!06 mldhdM .t co.r.ct. I .!@ ro
<br />c@ply wirh llr citv o.d'n rlc r .nd i.t. l.m 6Ling lo !! dino co.t.ltuclM, .nd h.6Dr tulh(>
<br />rie 6pcsllt6r ol thi!.rry ro antfi u@n rh. rboGlMto6d Foc.ny ,o. i..pEr,o o!.po5!%4
<br />B,l.u,ff(y'J-l( 1 'EF,F,EDBY,s€
<br />^nt
<br />VALIDATION (OFFICE USE ONLY)
<br />lAccouNTrrl-413)
<br />Distriburion: 1. lnspsctor Copy 2. FileCopy 3. FinancoCopv 4. Applicant Copy c.s.613
<br />-/
<br />Rocha
<br />*r"r,"J
<br />I
<br />i I
<br />cA 92705
<br />CONTRACTOH
<br />Mancon' Inc.
<br />PEBMITISSUEDBYIS'g I
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