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MEMORANDUM <br />TO: <br />FROM: <br />SUBJECT: <br />Finance & Management Services Agency <br />Planning and Building Agency <br />Miscellaneous Cash Transaction <br />MCT# 55167 <br />Thursday, May 20,2021 <br />All fees are subioct to change at any time and may also be affected by scheduled adjustments on July 1 ofeach year. The payee mustpay the prevailing rate at the tim6 payment is made. <br />ISSUED TO: <br />ADDRESS: <br />Gerardo Navarro lnsurance Agency <br />3601 W MacArthur Blvd <br />Unit 907 <br />Santa Ana, CA 92704 <br />TOTAL MCT AMOUNT: $499.36 <br />Comments: <br />lssued By: Graham, Jeffery (Ptanning and Building Agency) <br />GL Account # <br />01 1 16002 s1605 <br />Total <br />$499.36 <br />PROJECT NAME: <br />PROJECT ADDRESS: <br />Gerardo Navarro lnsurance Agency <br />3601 W MacArthur Blvd Unit# 907, Santa Ana, CA 92704-6843 <br />MASTER tD#2021-166151 <br />AP #414-221-09 <br />Permit #Application# COO-2021-337-CO <br />AMOUNT FUND NO.DESCRIPNON RATEQTY UNIT <br />Certificate of Occupan€y (Planning and lnspection)1.0000 s499.36 0't 1 15002 s1605 <br />llf_rl <br />1 $499.36 <br />.1? tl t:.t <br />NOTES:For payment to be considered complete, a <br />Miscellaneous Cash Transaction (MCI) must be paid <br />in full. Applicant must retum to Planning with <br />stamped cashier validation of the paid MCT for <br />closure in the Planning system. <br />Page 3 of 3 <br />-L r <br />t' <br />L <br />,l