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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, C492702 Electrical Permit #: 2(J1ll,6177 <br />Pin #: 6891{lnspection Requests: (714\ 667-2738 lnspector Section: (714) 647-5853 <br />Project Address: 2910 S Main St Unit: <br />Block: NA <br />Bldg: <br />Tract: NA <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: C5 <br />q <br />Assessor'sParcel: 4'10-311-05 Lot; NA <br />Owner: <br />Address: <br />Kiener <br />PO Box 711 <br />Dallas, TX 752210711 <br />Amount <br />23.87 <br />2't .25 <br />52.98 <br />Qty <br />1 .00 <br />1 .00 <br />1 .00 <br />Fee <br />$23.87 <br />$21.25 <br />$52.98Phone: <br />Tenant Name:Te-Kenjutsu-Kan Karate Do <br />Owner-Builder <br />Phone <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensation lnsurance <br />Carrier: <br />Policy #: <br />Expires: <br />Building Use: <br />Job Type: <br />Nature of Work <br />Other <br />Miscellaneous <br />Fireworks Stand <br />Occupancy: <br />Constr Type <br />Code: <br />N/A <br />N/A <br />cEc 20't6 Notes: Handoul given/fees pd in full on M-71110 <br />Planning Conditions: <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued 8y: <br />Subject to Field: <br />Building Permit #: <br />Date <br />Date <br />Date 06/13/20r8 <br />Account# <br />Misc. Receipt: 71110 <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Every parmit issued shall becorne invalid unless the wo* on the site <br />authodzed by such pemit is commenced within180 days after its <br />issuance, or if the work authoized on the site by such pemit is suspended <br />or abandoned fot a period ol 1 80 days aftet the tine the wofu is <br />conmenced. <br />$98.10 <br />$98.10 <br />$0.00 <br />lnspector MID#: 2018-143989 <br />N/A - No Balance Fee Total: <br />Paid to Date: <br />Balance Due: <br />rt( <br />Fee Type <br />01116002 51603 FWU <br />01116002 51600 General Plan Update <br />0'11 16002 51603 lssuance <br />Contraclor: <br />Address: <br />Link, Patricia