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Planning & Building 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:1�UITE # <br />PAID BY: MIA ') \j-at-�,NE_ ` DATE: <br />Bldg — Plan Check # '� — 01116002 53600 $ I)q <br />Plmg — Plan Check # 01116002 53602 $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # ! C) I hrs. <br />01116002 57600 <br />$ S <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # 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: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities F�e <br />ic-J <br />NOTICE: Applications for plan check submitted under Secti <br />105.3.2 of the 2010 California Building Code will expire if no <br />hermits are issued within 180 days. <br />Receipt <br />PreearE <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />08901001, ?A-60473s2 Tn- kilar-u <br />01116002F51$12TYH $raps:: 38 1 of 1 <br />nt <br />0111700i * .151244 $- 11/5/2014 10:49 AM <br />3002 "9gion Tot$1 S2r392.04 <br />0111600,9i6 W-W-C*NSTkAS <br />0111600,2,a�,6,,,10l $ <br />0111600ibZoi "51360 0 0 - <br />0980100j-*J, n Ghent.1i4 <br />f 5760 17 - <br />011160021 f'501 140 $2 r 392.134 <br />12015002 53700 $ <br />TOTAL $ <br />Misc. Receipt # 6 2 7 <br />PIVIKJ O, IedL,+e,MiSC Receipts/Aprd_ 2013 <br />