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Planning & Fling 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 ADDRESS: <br />I0_\I9l:l'i1 <br />0. W <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # } <br />DATE: k <br />Bldg — Plan Check # ljb 011-01-5401 $ I I C 1'j <br />Plmg — Plan Check # 011-01-5402 $ <br />Elect — Plan Check # 011-01-5403 $ <br />Mech — Plan Check # LM 12AU2011-01-5405 $ <br />Fire — Plan Check # 011-01-5401 $ <br />Bldg Permit — Trust/Special Inspection 011-01-5911 $ <br />Plmg Permit — Trust/Special Inspection 011-01-5912 $ <br />Elect Permit — Trust/Special Inspection 011-01-5913 $ <br />Mech Permit — Trust/Special Inspection 011-01-5915 $ <br />Fire Trust 011-01-5911 $ <br />Acc Bldg P/C # hrs. 011-01-5621-508 $ <br />Acc Plmg P/C # hrs. 011-01-5621-508 $ <br />Acc Elect P/C # h rs. 011-01-5621-508 $ <br />Acc Mech P/C # hrs. 011-01-5621-508 $ <br />Boarding Fee 121-01-5579 $ <br />Statement of Fact/Record Search 011-01-5911 $ <br />Microfilming of Records $ per 011-01-5911 $ <br />SMIP - Category Val$ 089-01-3611 $ <br />Xerox Copy 11-508-6311 $ <br />Residential Development Fee - Specify District # 301-01-5070 — $ <br />Temporary Certificate of Occupancy 011-01-5911 $ <br />30 Day Temporary Fee — Gas 011-01-5912 $ <br />30 Day Temporary Fee — Electrical 011-01-5913 $ <br />Bond: Demo, 30-Day, Relocation, Sign 098-01-3611-507 $ <br />$ <br />TOTAL l $ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits are issued within 180 days <br />Receipt Prepared by: AV2-- <br />Misc. Receipt # 45337 <br />�-� 4 C - (1�) <br />(-1La of buntu AW1 <br />PD: 1/6/05ID:(:KELLY LIIC: CTYH <br />U)ST: IHV:45337 <br />01:11 i 00111 00086344 1/6/iit, l l:':<' <br />I NANSAC110N TOTAL. $ti <br />9ulIdln9 <br />bl <br />bL1iIdin9 <br />3t.' <br />Rulld+n9 <br />gy <br />w-o, ,ding <br />3i <br />CK <br />a <br />Validation <br />