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Planning & B*ing Agency 0 <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714)647-5800 — <br />www.senta-ana.org <br />PROJECT ADDRESS: 411.7 <br />SUITE # <br />PAID BY: <br />DATE: <br />it — <br />Bldg - Plan Check # <br />01116002 53600 <br />$ � <br />Plmg - Plan Check # <br />01116002 <br />$ <br />Elect - Plan Check # <br />0111600253 <br />$ <br />Mech - Plan Check # <br />0111600V503 <br />$ <br />Fire - Plan Check # <br />0111600 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />01116 2 51601 <br />$ Z Z . ' <br />Plmg Permit - Trust/Special inspection <br />011 0251602 <br />$ Lq <br />Elect Permit - Trust/Special Inspection <br />01 6002 51603 <br />$ <br />Mech Permit - Trust/Special Inspection <br />16002 51604 <br />$ <br />Fire Trust <br />1116002 51601 <br />$ <br />Acc Bldg P/C # <br />01116002 57600 <br />$ <br />Acc Plmg P/C # hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # I rs. <br />01116002 57600 <br />$ <br />Acc Mech P/C # Urs. <br />01116002 57600 <br />$ <br />Boarding Fee <br />12115002 53507 <br />$ <br />General Plan Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Record Sea <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Xerox Copy, Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee - sp ify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupa y <br />01116002 51601 <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 51602 <br />$ <br />30 Da Temporary Fee - Ele ical <br />01116002 51603 <br />$ <br />Bon emo 0-Day, Relo ion, Sign <br />09801001 24015 <br />$�� r <br />$ <br />1 r <br />F <br />$ <br />TOTAL <br />$ <br />NOTICE.- ApplicationsAr plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if nopermits are issued within 180 days. <br />Receipt <br />Prepared By: <br />IJ <br />Misc. Receipt # 059915 Validation <br />W P51 <br />Fees 2011-2012/Mist Receipts420-2011 <br />