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Planning & Bel ding 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 />PROJECT A <br />PERMIT NO.' <br />• <br />FEDERAL CLEAN WATER <br />PROTECTION ACT <br />SUITE# <br />BY: <br />Effective January 1, 2003, a surcharge is being added to the cost of site plans review, btitilding, <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 />Receipt # 4 9 5 5 <br />05717002 53617 $ <br />05717002 53621 $ <br />05717002 53622 $ <br />� T <br />05717003 53623 $ <br />TOTAL�� <br />Validation <br />Pl-ink/W P51 /Forms/#81 9-2011 <br />