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Planning & Being 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 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: \- 0 C Cnn E�- �- U Cft <br />1 'C� jf 1 DATE: <br />\--- <br />Bldg — Plan Check # ��`�� riF <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011-01-5403 <br />$ <br />Mech — Plan Check # <br />011-01-5405 <br />$ <br />Fire — Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit— Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit — Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg PIC # hrs. �_ <br />011-01-5621-508 <br />$ L ~ <br />Acc PI mg PIC # hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech PIC # hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ per <br />011-01-5911 <br />$ <br />SMIP - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />ond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />$ <br />NOTICE. Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />{� i t_+ of 'aani;a Ana <br />Code will expire if no permits are issued within 180 days. <br />Fp:i/1tir2iii+`If1:FMAFFE1 <br />i_DC.: CI rH <br />Receipt <br />6'A15T <br />+J022 0001 <br />(10092761 1, 19- Csij' <br />Prepared by:L4 <br />TRANSACTION <br />Building <br />TorAl_: <br />Building <br />CHANGE <br />t+.+. +:+i+ <br />Misc. Receipt # 45414 <br />Validation <br />