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Planning & ling Agency <br />Building Safety Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />• <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 2 ? 76 S Fair ✓re 41 SUITE # <br />PAID BY: f-r-ernr >( f-ty✓o <br />DATE: i1 J/ a -- /-3 <br />Bldg - <br />Plan Check # <br />01116002 <br />53600 <br />$ <br />Plmg <br />- Plan Check # <br />01116002 <br />53602 <br />$ <br />Elect <br />- Plan Check # <br />01116002 <br />53601 <br />$ <br />Mech <br />- Plan Check # <br />01116002 <br />53603 <br />$ <br />Bldg Permit - Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 $ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 $ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 $ <br />Acc Bldg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />01116002 57600 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee - Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee - Gas <br />30 Day Temporary Fee - Electrical <br />Bond: Dem , 30-Day Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />IVilbU. r1tjUt!1 L i+ V <br />12115002 53507 <br />$ <br />01116002 51600 <br />$ <br />01116002 51601 <br />$ <br />08901001 24000 <br />$ <br />01116002 51612 <br />$ <br />01117002 57770 <br />$ <br />3002 57991 <br />$ <br />01116002 51601 <br />$ <br />01116002 51602 <br />$ <br />01116002 51603 <br />$ <br />09801001 24015 <br />$ u v v <br />01116002 51501 <br />$ <br />12015002 53700 $ <br />V C plucttlul I <br />