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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. Streetlight Infrastructure Picture

B. Plan Drawing

C. Letter

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 request. 

I certify that the streetlight foundation will not be compromised due to the sidewalk work performed.