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PROJECT ADDRESS <br />PAID BY: hAlrl <br />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-s800 <br />www.santa-ana.org <br />26 2c <br />1-fld-W*€- <br />SUITE # <br />F- 3t-t v <br />lot qtsQt 01 1 16002 53600 <br />01 1 16002 53602 <br />01 1 16002 53601 <br />01 I 16002 53603 <br />+++2t$ <br />$ <br />$ <br />$ <br />Bldg Permit - lnspection/Special lnspection <br />Plmg Permit - lnspection/Special lnspection <br />Elect Permit - lnspection/Special lnspection <br />Mech Permit - lnspection/Special lnspection <br />01116002 51601 <br />01116002 51602 <br />01116002 51603 <br />01116002 51604 <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />?t0'7 rS <br />rS <br />rS <br />rS <br />h <br />h <br />h <br />h <br />J 09801001-24045 <br />09801001-24045 <br />09801001-24045 <br />09801001-24045 <br />2t7"b <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacVPublic 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 Fee <br />12115002 53507 <br />01 1 16002 51600 <br />011160Q2 51601 <br />08901001 24000 <br />01116062 51612 <br />0111600,2_57770 <br />_3002 57991 <br />0'1 '1 '16002 5160'1 <br />01116002 51602 <br />011160C,2 51603 <br />09801001 24015 <br />01116002 51501 <br />12015002 53700 <br />$D: NGA <br />$ <br />$ <br />$,, <br />$ <br />$ <br />$, <br />$ <br />$,, <br />$ <br />$ <br />$ <br />$TOTAL <br />Validation <br />o <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 Calilornia Building Code will expire if no <br />permits are issued withit\l80 days. <br />\Q <br />IReceipt <br />Prepared by l'lta,*L <br />MISCELLANEOUS <br />RECEIPT <br />DATE: <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Mech - Plan Check # <br />$ <br />$ <br />$ <br />$ <br />talg $ <br />$ <br />$ <br />$ <br />I129 .t-t'\ <br />t <br />Misc.Receipt# 7t471