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Project Information























Contact Information

Other: Role/Relationship to Project
                                          
Applicant Information
Company/Agency Name





Owner/Developer Information (if different from Applicant)
Company/Agency Name





Representative Information (if different from Applicant/Owner)
Company/Agency Name





Attachments
A. Site Drawing

B. Scaled Streetlight Plan Drawing

C. Permanent Streetlight Photometrics

D. Temporary Streetlight Photometrics

E. Temporary Streetlight Plan

F. Streetlight Removal Form

G. Any Other Relevant Information For This Application


Notes
Acknowledgement
Applicant acknowledges that this Application is subject to the SFPUC's Rules and Regulations Governing Electric Service that can be found at https://sfwater.org/ElectricRules  as well as the SFPUC's Street and Pedestrian Lighting Guidelines that can be found at https://sfwater.org/streetlights . By clicking "Submit" below, I agree that the information contained in this form is correct to the best of my knowledge. I understand that any changes made to the above information or attached documents may increase the time required for SFPUC to review the streetlight at the requested service address.