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o oAPPLICATION AND <br />ELECTRICAL PERMIT <br />(TYPEWRITE OR PRINT IN INK) <br />CITY OF SANTA ANA <br />206 W 4rh St. <br />667 -2738 <br />APPLICANT FILL IN AREA BELOW <br />iro EACX tola!E aa,oenr,at D lndushar El commercar <br />F... Hot 13, uot.l.. Apt, S{r tr <br />G.r. or C.rport! sq Fr o2 <br />50 <br />50 <br />tftJ- <br />I <br />G: A-v.a--.-. <br />0-L)S <br />.)<-"- <br />€ach <br />500ADp.ovd Factory Wi.ed Unn <br />8u3waE, ap€clEl rac€e5yr. und.r rroor duct <br />tolloy or plugrn bu3lray3 6a. !00'500 <br />Fre Signalrng Systom. Minrmum ls€ <br />Oull6t. 8mok. ot h€al seruor <br />r0 00 <br />50 <br />tryhting Sland.r@ *rlh Ono Lrhp <br />Each AddI nnure on samo sEnd.rd <br />500!oo <br />OuiaLdar Daclr.rfon <br />I lE .Ot.tlim thlr I .m sx.mCr 1106 th. Co.rrcror'! Lic6n!. t w lo. fi lo{owi.g r..!o.! lS.. <br />7031.5. Suri.rr.rxl PrcL.lidis Co& A^y cry o. calnry *t!€h iqu".t r t rmt ro con ru.r, <br />ata.. tmroE. damorah. d ,.p.n lny 3r$ie. 9.s lo i! qteb., arao r.q@! rh..ophcrrr to. <br />e,.n pard lo la a rg..d ia.@ rfl h. '! r6.rd p{.!!,lr io rh. ,.o$ao,!a ol n co.raa- <br />ls'r Lc..l. L.* lcrr.Cs 9 lco.rraE.g sni S,-to6 ,ml o, Omtoi 3 o, i!. BuJr... rl(l <br />Iro{.troE Cod.) o. fir aE ir.r.rifl lh.r.i.o.n 16 iE b.*!,o. nr d.!.d.rtfttto.t AnytEL. <br />uo. ol S.clb. 7O3i 5 b, ,r Bdi:&rr lo. r C..nn riFcB ih. .Caa.mr to . cMl p..xIy ol ior <br />.r!o.rhtl t6n rdod doL61,6@lr <br />X Or* r*^ 1,.!o*n r or h. Droo.ny, o, hy.mdov..! * hw.c!rrtrh. .ohc6. <br />/ D.^aarM, dll ab rll. *o,r. ar{ rh€ n uartr! ra nor n|.n<bd o. ott 6dld{L <br />E S*-r rO{a l. 6 6rrrr ol r't o.o.r. trrr.,@rurv! <br />tct'' b carEEr aa !,lacl{* l'lt.'71*-,n, <br />5000Marnlonanco P6rm lannua0 <br />Up Io a00 .mp., p.r m616. <br />Ov€l 4m .hp.. p€l ,n.t6. <br />Ovsl l20O omp6, p.r mol€r <br />s'gns and hrgh pol6.tar gas lub€ r€hlrng 15 00 <br />Swmlni.g pool8, lounla'ns, 6pag 3500 <br />Swilchboard. molor conlrol c€nl.r or !ub-pansls <br />Each <br />r500 <br />Tornpo.rry conalruclion m.lcr tanlca pola <br />E ch dlrdbutbo pota <br />25@ <br />5m <br />I h...by .$m th.t I rm llc.n*d ondr ,r plovillont ol Ch5pr€r 9, OMron 3 ol rh6 8{d.or! |nd <br />Prol.so.B Co&, .nd hr rEo$ ts '^ ,Ldl ldc. ..d.ltel <br />O.Lcdurrd{s{r- <br />Conl..ctor U.. Only <br />CITY <br />- <br />C'ty LE n.- <br />Tompo.a.y conllruc1roo lightng <br />50O tempa o, tcaa <br />Ovar 50O l.mp. <br />200 <br />a00 <br />Tihe clock o. pholo €loclric c.ll 3.00 <br />POWEA APPARATUSj Gen6ralor.. motor!, <br />Iraftlorm..3, r.clillcrr, indullri&l h.aliog, <br />coofihg, or baklne aquiprn.nl .nd olhc, <br />apparalua a! lollow!: <br />up lo and mcludlng i HP, Kw, l$A <br />Ov6r 1 and nol over 10 HP. XW, Kva <br />Ov€r 10 and nol ov€r 50 HP, XW, KVA <br />Ove,50 enO nol ot.r 100 HP, KW, KVA <br />O/or 100 and nol ov€. 5)00 HP, KW, XVA <br />Ovor 5O0 HP. KW. XVA <br />2-00 <br />5.00 <br />r0.00 <br />m.00 <br />30.00 <br />a0.00 <br />'llll)tut-,t t /o-ar .0--a./i6: <br />(1'I <br />9&iLa.r Co.llp.nratlon D.dt..drr <br />l h...bv .fiifr hll 1 n.6 . cdr,l'@to oi cons ro $rr-nu6, or r c.n'lc.l. ol Wod.r'! C@p.n- <br />eU@ h$66 C.nrl.d copy 6liLd w'tn rl Crry bu'rdr.C 'n3p@ho <br />I c.rnly lh.r 6 nx p.do.rn ft. ol rh. wcl ld whdr rhl. p.rm'r l' llled. I $!rr mr mpby ey <br />p.r$.r <br />'. .ny hlnmr to rr to b.conr. $bacr ro ir6 Wb.td's Comp.nr.non L.w' ol C.l orn[ <br />XodotAeCc.rt <br />ll. dtdt&[ ii. Ciiili..r. ol Etmdb.. roe rhdrld b.co.r. rn dio,rltb r'! cdtp..r <br />r.rirr 9ro!is.. ol nr l.tD. Co.b. vo{ nud |rrri-dr cdrloly wi6 rrcl| C.!!tE|t oi dir ,.irn$.4bd-n d,.d.d <br />7-, <br />tti. Er4il..- \r-ti.d 8y lsa ,- <br />o.r.- &olt .nr lslo I <br />1' <br />Ponalty Fo€ (wh6. applrcabls) <br />VolalDn Fe€ (mnmun 35Om) <br />Plen chect 65it ot s{btotat{mlolmum 3mm) <br />r0 00 <br />TOTAL PEaIr FEE lmrnrmum t3500) <br />Erdrdor <br />Ih6FE(naa.rrDbvrRr.to...rdb.cdt'.nulrdvld t wtrrtbn.dtytf.!p..Dit'' <br />rcrcdi rEE d*in lO d.y. ti(n rtr d.r. d 0!6 t m d n \,,qt.utno.lr.d !v ta,..ntr ! <br />rrI.o6d o.D...lqrd d lny o,il..t . rr "rdt. csrrl.rl..d to.. C.r'od ol !8Odw! 4..* <br />F it tlr.a !. otr..r.d L, !.to.l r.h wqt c,r !.,rdwrx.rc.d <br />arrnL,c.rr'.i o,rrl.r.rl'on <br />/L-l-t)-/t ApolEar d Ac6r ls'c r <br />OATE l-r2-t?6FPERIIT XO. <br />4 VER'FIEDBYTS{ r_ <br />AUILDING <br />vAUOAl0r roFf rcE usE onLYr <br />tAccouNlrr-ar3)0r/ru8 3?+gPll {13 <br />Disrribution: l.lnspoclo.Copy 2 Fil€ CoDy 3. Flnance Copy 4 Applicanr Copy <br />I <br />15 00 <br />35 00 <br />7500 <br />rc No- <br />At <br />M4L <br />ii: . 0rll <br />W <br />@c <br />Ezd) <br />oc,* <br />aa <br />a,lNt\ <br />{A <br />tA <br />I <br />l <br />tA <br />DlBtl-lrs <br />It <br />I <br />I