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Complete as much information as possible. Incomplete or missing information will cause delays in processing your request.
Project Information






Streetlight Information
PG&E Light No. (leave blank if SFPUC light) SFPUC Pole No. or PG&E Pole No. Wattage Side of the Street Street Name Nearest Cross Street  Feet from Nearest Cross Street  Streetlight direction from the nearest cross street
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. Streetlight Picture

A. Picture of Temporary Streetlight

C. Plan Drawing

D. Temporary Streetlight Photometrics
Upload a temporary streetlight photometric plan if the temporary light(s) is not a like for like replacement.

E. 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.