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APPUCATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWBITE OR PRINT IN INK)
<br />f .,r"orroNTAANA
<br />20 CIVIC CENTER PLAZA
<br />834-4186
<br />o
<br />APPLICANT FILL IN AREA BELOW
<br />@g
<br />9zo
<br />o0n
<br />il
<br />q
<br />{u"o^un E rndul.nar El co..*car NO.TOTAL
<br />F.r. Hor.l., Ior.l., Apr. Sq Fr 03
<br />G.r, or C.rpon. Sq Fl o2
<br />50
<br />50
<br />JOBADORESS
<br />*7- ?nzY-,q.
<br />_{z%
<br />Each
<br />20 00
<br />Apo,o,ed tn"u,, w,." "-, 6A3)?."/Mtz;-€'500 e.
<br />500
<br />r000
<br />50
<br />Frs S€nalrng Syslad Mrnrmum loe
<br />Oullgl, s.nok€ o. hoal Gsnsor
<br />500
<br />100
<br />Ughrrng Siandarc,E w h Ono Lamp
<br />Each Add l linu.a on semo arendard
<br />50 00Mainl6nancs P6rm,l lannual)
<br />Up ro 400 ampr, pd m€ro,
<br />Ovc. 409 amp., po. mGLr
<br />Ov6r 1200 amp6, por mcl6r
<br />r500
<br />35.00
<br />75.00
<br />S'gns and hrgh tlol€olral gas lub€ h€hlrng 15 00
<br />Swmmng pooE. louniai^., spas 35 0o
<br />) s\rftchboard, rYrolo. conlrol ca6tc. or su]panels
<br />Each
<br />15 00
<br />00
<br />00
<br />I 5
<br />3
<br />Tsmpora.y comlrucllon mole, 3owrca polo
<br />€ach olsiribullon pol.
<br />OunGeL.M.r
<br />I hdtar ,frr' 0!.l I rr| .x.npr lrdn tr Coor,.do.'r LE .r. (r, lo. ih. toll@rlg ..ao. 15-
<br />7O3l 5, &r-.o .rd ProLaim Cod.: Aiy c'iy o. c@nly wh.n nqur.r . F6'l lo cNral.
<br />lllJ, nro., {rnold!. d,.r.r..ny ttEtu .. p.ro. ro la '!irtrE. d.o l.Qrrltrh.rpl€. 1o.
<br />r,crtFdrrola.rg!-r.nmfi rh.rh.i.r6nrd,rarnrro,t,.o!rro.rrol6.Co.rt.c-
<br />rt'. LEE t , lch+r.r g lcdl@rcr! nrh S..ton 7@l ol Oero.r a ol Or. Bof,i!..r xrdftoa-E! Co.bl o. ird l!. '..$mOr rBr.tro6.id ox b.r. tor Or.ll.g.d.-mdo A.y vEl.-
<br />tdr oa S.cto 7031 6 t'y ,y .od...r lq . p.mn lblc!! oE .pdE .r ro . cMl p.ocry ., mr
<br />@r rh.. nln hund.td doa.6 I t5OO,
<br />E S*to,, rOren l, r! owi.r ol lh6 !.ol.ny, o. my emdoy6! w'th w.g.! 6! tnar roL cdn-
<br />D..rto. wr & tn wr, rld th. rt!.ruo i! nor nr.ntr d oltaEd ld !h
<br />fl S-eo rO{e l, s owB ol rh. Foe6ny. .m orcrwv!, cdrrr.t'nc {lh l..n-d cd
<br />rlcror! ro co.lirud rtr p.q.cr
<br />O.l.- Owmr(Sro.r-
<br />I h...by .tlim ln.r I m l..rud u,lrlor tho p@ido! ol Ch.oL, 9, OMron 3 ol ih. B!'f,$ .,n
<br />Pn rEir C(t.l., x! my rc..rr it h lull ld@ rd ofiel,
<br />CITY
<br />o
<br />4+.?Z
<br />7///4,3
<br />Co.trlcior U.. Only
<br />Tomporary conltruclion lighlino
<br />5OO lamp3 or lal.
<br />Ov6l 500 lampr
<br />200
<br />a00
<br />Tim6 cloct or pholo 6l6clnc coll 300
<br />2.OO
<br />5.OO
<br />r 0.oo
<br />20.00
<br />30.00
<br />40.00
<br />POWER APPAaATUS G€n€ralor6. motors.
<br />tran3lorm6.B, racliliorl. indu8lrial ltlollng,
<br />cookinc, o, baking aquipmonl and olh.r
<br />apparalu aa lollow':
<br />Up lo and ,ncludlng 1 HP XW. XvA
<br />Ov6r I ind not o/o, 10 HP, x\rY, Kva
<br />ov6r 10 and nol d,cr 50 llP, xw, xvA
<br />Ovcr 50 and nol ot,€r ,0O HP. xw. KVA
<br />Ovsr rm a^d nor olar 5O0 HP, Kw, KVA
<br />Ovsr 5m HP. Kw, xva
<br />wodo..conp.n'.tt;;.cbr.rton V
<br />l h.6bv all{m rh6l l hrw . c6rr '..16 ol con$nl ro sll.'n.u.
<br />li, .h.i fi.&te ,E crtir.!. ol El.monon, yoi, shdrld t corrr. rrbicr lo t tt6tt.r'! c@p..!
<br />-Er Fovrro.! ol ,r L.bd Co&. ya tun ldrhnrn cody $rh Bh pros..o.!! o. rhB Frfrl
<br />.ndl b. d..rud 66t d.
<br />I cdtt lh.l '. th. p.nsm.tu6 o, lh. wdk dp.rs s rny mec s .s ro b€.oE tubpcl ro
<br />6-
<br />P€nalty Fee (wh6n applicabls)
<br />v,olallon Fes (h,nimum $35 00)
<br />Plan Chock Fo€ (mrn,hun 115 00)
<br />r000%:/ rOt L Paext lEC {g^mumJ3soo)inl r
<br />Erpl'idon
<br />ihiro.h'rlhrll.xptr byhhrraio.randb.coftrullrhdvod th.wort!urhd[.dbyrh69.mnE
<br />nor commoc.d wrlhrn 180 d.rr lrom lho d6la ol lhit p€rdrlor
<br />'t
<br />woi(.ulh*r.d bv lh€p€rort is
<br />3Jr9.nd.6 o..b..doi.d al !ry nmeaftorlhowo.t r!commlnc.d lor. p..od ol180 d.vs An.w
<br />p..frrr $.ll b. obr.imd n.!r bold. 3uch mrk d. b. .6co6h.nc6d
<br />16.!lY rn r I h.s 6.d rhc.pplorM.nd 31.t6 thar
<br />cr.nrly wrh .ll dry oid..rad. and $.l. law3 olrr'r8
<br />n..,.p..s!.r63 ol rh,s orv ro.nr.r uDe dE .no6-
<br />lh. abov. 'nlorn.t@ r. cd.!.| I .0l.. lo
<br />ro burk n0 co.r.rrcr'o.t, rnd hraly auric
<br />WAh/rrk".",
<br />Applicanr'! D6cl.r ion
<br />*,e /1443:C IT
<br />'h/:/%PERMTTISSUIDgY(S€ r.J Z7alA.,
<br />VATIDAIION IOFFIC' USE ONLY)
<br />Distributionr l.lnspeclorCopy 2 FileCopy 3 FinanceCopy 4 ApplicantCopy
<br />t//1
<br />32 4. aX EACH
<br />Borway3, apacol ocriaya. undaf noo. ducr.
<br />Loll.y or pluetn bursay!.a. 10O'
<br />Recsipr No---<- rc No------
<br />351J0=l-!A r R lCt
<br />.//o/ E.
<br />{S,e
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