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City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />20 Civic Center Plaza (M-19), Santa Ana, CA 92702 Electrical Permit #: 2(J1ll572(l <br />Pin #: 8ll745 <br />l nspection Requests: (7 1 4) 667 -27 38 l nspector Section: (7 1 41 647 -5853 <br />Project Address: 21 34 N Soruce St <br />Assessor'sParcel. 001-084-20 Lot 91 <br />Unit: <br />Block: NA <br />Bldg: <br />T.acl: 1721 <br />Address Range: <br />Historic: No <br />Suite Range: <br />Zoning: Rl <br />vY <br />Owner: <br />Address <br />Contractor: <br />Address: <br />GARY ROOEBAUGH <br />2134 N SPRUCE ST <br />Santa Ana, CA 927062/145 <br />C Z Electric <br />180 N Rose Blossom Lane <br />Anaheim, CA 92807 <br />(7141261-3206 <br />01 1 16002 5'1603 <br />01 1 16002 51600 <br />01116002 51603 <br />Amount <br />51.29 <br />21.25 <br />52.98 <br />Fee Type <br />Serv Meter <br />General Plan Update <br />lssuance <br />Qty <br />r00 <br />100 <br />1.00 <br />Fes <br />$51 29 <br />$21 25 <br />$s2.98Phone <br />got,:hi:41468 <br />0ff ice: (:TyH <br />Acct+ : <br />RcPti: tl22'{t-rr'l <br />Tronsoct ion olql <br />+ / 2:-,/ 2l <br />Inons+ i <br />t <br />fl) <br />AUIn <br />Phone <br />State Lic #: 718359 <br />Lic Type: C-10 <br />Bus Lic #: 3/f5659 <br />Workers' Compensalion lnsuranceCarier Exempt <br />Policy #: <br />Expires: <br />C Z Electr i, <br />Generol Plon tlpd(t€ <br />0t I 16002- 5 I 6tlulltltl- <br />EIectr icol <br />0l I 16002- :;1ilrir30rrrr- <br />llosfer Corrl <br />CCi: rrrr*Ir**rr*6t <br />Fee <br />Building Use <br />Job Type: <br />Nature of Work <br />Planning conditions <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subjecl lo Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Service Meter Upgrade <br />Chavez,Dave <br />Date: <br />Date: <br />Dale:-{g-o4t2512018 <br />Account# <br />Misc. Receipl: <br />Misc. Receipt: <br />Misc. Receipt: <br />Total <br />Occupancy: <br />Constr Type <br />Code: <br />R-3, U <br />VB <br />cEc 20r6 Notes: Service meter upgrade. Handout given <br />Every permit issued shall becone invalid unlass tho work o, the sile <br />authoized by such pemit ts commenced wilhn 180 days aftet its <br />issuance or t the wo* authonzed on lhe sile by such pomit is suspehdod <br />or abandoned tot a penod ol 180 days attet the lime the wo* ts <br />commenced <br />$125.52 <br />$0.00 <br />$1?5.s2 <br />lnspector MtD# 2018-142985 <br />0't 1 16002 51600 <br />01 116002 51603 <br />$21 .25 <br />$104.27 <br />Fee Total: <br />Paid to Date: <br />Balance Due: <br />Tenant Name: