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

A. Streetlight Infrastructure Picture

B. Plan Drawing

C. Letter

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.