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-,-SANTA <br />NA <br />It$NC <br />&Bur0ilc <br />l[I\0 <br />Planning & Building Agency <br />Building Salety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />santa Ana, cA92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />FEDERAL CLEAN WATER <br />PROTECTION ACT <br />PROJECT ADDRESS:2qe9 K[ &,-=\o SUITE#R .,..) <br />PERMIT NO.:\BY C\ <br />PAID BY DATE: <br />Effective January 1, 2003, a surcharge is being added to the cost of site plan review, building, <br />grading and plumbing permits to pay for the obligations associated with the new federal <br />requirements. The program is administered by the City of Santa Ana Public Works Agency. <br />Questions and appeals may be directed to PWA by calling 714'647-5074. <br />Site Plan Review <br />Building Permit <br />Plumbing Permit <br />Grading Permit <br />0571700253617 $ <br />0571700253621 $ <br />0571700253623 $ <br />kcpt+: <br />l:e f+: 1164?i <br />5/2018 3:56 Pfltl r 352.5.1 <br />0571700253622 $5q.qL <br />Bofrh*:4446rt - $/25/2t119 I0. (:(:lJEl-l,iiR <br />officer CTYH TronE+3 144 1 of i <br />4TOTAL $(n5q <br />TIDERAL 8t,D6 <br />o <br />F(.IJP Flu,rb ine F'ern it <br />0571 7rlri2- 536220r:ll:r- <br />I(:[. (:hec]t [u3299 <br />t59,9rl <br />t1 r Sii?.53 <br />PLink^VP5'1 /Forms/#81 05- l 4 <br />ValidationReceipt# 06495