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Planning & Bufng 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 />0 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 5` <br />SUITE <br /># <br />PAID BY: M V L <br />_ DATE: <br />(Q --- — <br />Bldg - Plan Check # o� d _ <br />011-01-5401 <br />$ - <br />Plmg - Plan Check # <br />011-01-5402 <br />$ <br />Elect - Plan Check # <br />011-01-5403 <br />$ <br />Mech - Plan Check # <br />011-01-5405 <br />$ <br />Fire - Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit - Trust/Special Inspection <br />011-01-5913 <br />$ <br />Mech Permit - Trust/Special Inspection <br />011-01-5915 <br />$ <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # 1,01"hrs. _ 5- <br />011-01-5621-508 <br />$ 42 r �� <br />Acc Plmg P/C # h rs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # h rs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ per <br />011-01-5911 <br />$ <br />SM I P - Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 - <br />$ <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee - Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee - Electrical <br />011-01-5913 <br />$ <br />Bond. Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />$ n 8 <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will ex ire if no emits are issued within 180 days. <br />Receipt <br />Prepared by: <br />(I CA <br />Misc. Receipt # 46536 Validation <br />