It happened near the community of Easton shortly after 12:00 am.
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Officials say the driver of an Acura drifted off the road's shoulder, struck a fence and then hit a utility pole.
The power lines fell onto the car. The driver was stuck in the vehicle for about 50 minutes as crews worked to de-energize the lines.
He was rushed to Community Regional Medical Center in downtown Fresno with major injuries.
CHP officers are investigating to determine whether the man was driving drunk.
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The crash initially knocked out power to more than 1,000 PG&E customers. Electricity is almost fully restored to the area.
Click here to check for the latest updates on the outage.