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<br />APPLICATION AND
<br />ELECTRICAL PERMIT
<br />(TYPEWRIT€ ON PRINT IN INK)
<br />f a,.ror.ANrAANA
<br />20 CIVIC CENTER PLAZA
<br />834-4186
<br />@q
<br />Iza
<br />))
<br />D
<br />t\
<br />N\
<br />\,\qI
<br />\l
<br />^
<br />>Laa2 <- Okt_
<br />JOBAOCFESS
<br />d"".*^,"' E rndusrEr El co-.c.c,ar NO EACX
<br />,t... llot l., Xot.l.. Act. So Fr 03 /1.71M *t t,t,zt- Qn <-*z Srt:r-1, ?2_
<br />G.r. o' Carpotu Sq fr o29.{*-1 eJ-5!
<br />509*.'.--t 4-n, C*
<br />CITY
<br />50
<br />Each
<br />App.o$d Faclo.y Wr.d Unrl
<br />Lral
<br />500
<br />5.OO
<br />Burr.yr, ro.cral nc.rayr. und.. rloor Ouct,
<br />rol|.y o, !,lug.in butwayr aa l0o'
<br />1o.cto
<br />50
<br />Fn. Signaling Syllcm Minihum l.!
<br />Oun€1, 6nlok€ o. haal a.o!o.
<br />lghling Slandlrds ,rlh Onc Lrhp
<br />Each AOd'l ,ixrura on aama al.nda,O
<br />500
<br />100
<br />Ortr+Ld.D.&tdo.r
<br />LrrrbY atfn ,rar | , .-60r Lo.. ft C..rn..rr'. L'c.nr. L.* lo. tu lorol.,ra ,!.3r ls.c
<br />,031 6. &t,t{ .d Prol.r.'ar. co& An, clrv d cort *tuch r.qq.r . ts trn ro cd.r.ucr,
<br />al5. fir.o,l, danroLh, o. raoa,,y .lrr.tur, 9.ro. to.ta arrra,lar. ato nou.a! nl. accraanr ld
<br />irch Fnrn ioft. t'!.!d i.r.rrl. iu l|.I'c.6rd cue,. lo rh. a.ol,rrs[ oa th. c6re-
<br />rdt LErr Lr, ior.cr.9 (c(,itrlrEmg {r! S.cr'o.r ,@or ol Ots.lo.r 3 ot rh. &rrl!.,a
<br />Pt!a..tdr. Cod.l o. h.r l!. 'r.r.nlci lnrd,on x{ nr b.r.lo. r..L!.d.,.d!r'o.r &v vd}
<br />Er ol scra. ,o3l 5 bv ,! .corc,lr ld. ,fi nlrcr. rtr.99rc.rr ro.6vtl,.irnr ol ior
<br />riqr irlr li/r hlnd.d r,oL.. l a6oo,
<br />D s-,io,, lo(e r. .. orirt.. ol h. p.oc.rly: q my.oorot'... *rn r.!.r.3 tx.or. co.t'qB.to., wl (b d!. rlort. .nd ,r. filcn,. lt ior nt q,.d or oltn d {o, x|.
<br />E s."oo.r zo4e r. .r 6,r... ol r,x !.@..ry. .6 .rcrltl.ry co.r,.cmg srn rc.fi<, co.r-
<br />,-lda ro cqtaln at nt ,o,acl
<br />Mahtlnanco Parh.r (a.nu6l)50 00
<br />Co.rtrclo. U.. Only
<br />58l-toto
<br />CONTiACTOF(o7s,*.. oll 6r- 0r-{, A,C.
<br />Up lo a00 !mp6, ir.r md.r
<br />Ovor a00 ampl, par malar
<br />Ovlr 1200 ahps. p, maia.
<br />I r500
<br />35 00
<br />75 00
<br />6.9
<br />SEm and hEh pol.ntl.l gas tuba lgntng !5.00}3 5S 2- ^*t .t e t-tu-t Prar^,,..r
<br />AOOAESS
<br />35 00Swimmrng pools, lounl.ins. spasCITY
<br />t Jtf. !t.t * tlt J-f , Ct
<br />STAI'/{P
<br />ot >t-<3
<br />15 00
<br />SrlchDoard, molot conlDl canlat ot auEp.nal.
<br />Each
<br />r5.00
<br />300
<br />T.mporary conrlruclion mrl., ..rvrc. polG
<br />Each dlltrbutlon 9ole
<br />I rEi.by .tlrm ihlr I rn lE.n-d und.. tt prce.onr ol Ch.tL' 9. O'v,.Dn 3 or lh. BoxE$ .nd
<br />o.,*9d.tf- c*,*,o.,sp,
<br />""ftl6*"<
<br />'2 '2,-'L_
<br />.r., c ' 06rL
<br />200
<br />ao0
<br />Trmpo.a.y conllrucnon lghlino
<br />5OO l.mp! or lcl!
<br />Or., 5O0 l.hp3
<br />Tim. cloct or rrnolo .r.clrrc c.rr
<br />POWEA APPARATUS: Gana.alo[, molo't,
<br />,aatlo.mGrt, ..cl ar3, indudtal l. aling,
<br />cootnc. or b.titc aquipmanl and otho,
<br />T9araNr a loilo*r:
<br />ljp lo a^al includn9 I HP. xw, xv
<br />Ov., t rnd not o'. r l0 HP. XW. XVA
<br />O.r t0 .rE not o..r g) HP. l(W. l(r^
<br />otd 50.nd nol o',, lm HP, xw. xv^
<br />ot,.r tm rnd n , o., 5O0 HP, xw, xv
<br />O,tr 5m HP, l(ll. XV
<br />lvo.t a Corpanaado.r Dacfrdfo,!
<br />I lr.abt allm t,!r I te. a c.ailEan ol co6a ro -li-6or.. q . @.rr..r. ol wo.rn r Co.no.n.
<br />o.E- Aoo.'.rnr rs{ '-
<br />,aodo To AgrLrn:
<br />n..h.r nart nrr c-rtc.i. ol El.60!oi\, yq,.noid t csr. rt'Fcr lo tu led., . co,n .G
<br />..td!c.olrtdlto,nru!o.co.,..voqirrnllo.ihltco.idyr$t n,os|o.r.o.rhoD.dr
<br />ar.ll b. rlr,i.d n{or.a
<br />rrfitiMrE C..tl.d
<br />onr,n-512-,k.
<br />*'' </ .,/r*-
<br />.opY '.l'ad wnt t c'lY
<br />La.aerrso t
<br />Dftt '!,3!{ra. I dr.rl ml.6oloY..v
<br />t CohD.nt to.r L.wr or C.rddMpd!o.' n mY @nF ro ar ro badE $bn l lo
<br />r..tuiY tur. tu D.ndrYrE ol rll wt ld
<br />Prn.lly Fae (wh6. eppkcabr.)
<br />Vior.lbn F.. (mrnrmum 335 0O)
<br />P!.n Ch.ck F.. rminimum 315.00)
<br />r0 00
<br />IOIAL PEIIIT FEE {h,^,hum t35 001
<br />olE - /r -85 PEIIIT NO.
<br />Erfhqr
<br />Th{t,rfirxr.ro..!lLr.r.r'o...dD.co.rni..dvodd,!.*o.r.ud!dr.d!y,!.0..ft16
<br />mr co.rrwrc.d wih. 160 d.v. lro.n lrt d.r. ol rhr. F.6'r d , *o.r .unE ..d !y n!. F6n '!ntEi(,.(, d t6.rao.\.r'.r.nt lnx.lr.. tr i,or l.cond.c.d ld. p.i'od ol l& d.Yt A.fi
<br />E ft{ a.n !. oorr.a n d b.io.. rldr *r.t c, b. ..co.nd.E d
<br />AcCc-rl'. o.ffio.l
<br />I *tt rhat I nar l.ad orl. a9olEalo rld tl.r 6.t n abon! .rrtnarlori 'a.ona.l l.co lo
<br />c60ry *in a[ c'ry ordfrnca. ..d rr.r. l.wt r.i.n.t,{...or.rnrr6r oi ln.3 c'rv ro .^ra, uoo. 6a ab.{-
<br />tr Aogl€.nr d a!.nr rS!
<br />PEFMIIISSUEDBYI9g I
<br />EUILDING 2-?rt 7 vtFrFrEoSYrSe r
<br />e.t-
<br />,.SAIR 3tl!4174:5 31'1'97
<br />VALIOAIION IOFFICE USE ONIY)
<br />tAccouN r ,ll.al3r
<br />h
<br />IIIIIIIIIII
<br />IIII
<br />IIIIII
<br />IIIIII
<br />IIII
<br />D6lnbution. I lnsp€ctor Copy 2 Filecopy 3 Fihancecopy 4. Applicant Copy
<br />,W)
<br />APPLICANT FILL IN AREA BELOW
<br />300
<br />2.00
<br />500
<br />r0m
<br />20m
<br />s.m
<br />4o.00
<br />R.c.,or No- rc No-
<br />41.2,/
<br />)R
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