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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) 647-5800 <br />www.santa-ana.org <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS lZ\+tOICe:Iu>SUITE # <br />DATE *7rl <br />Bldg - Plan Check # <br />Plmg - Plan Check # <br />Elect - Plan Check # <br />Mech - Plan Check # <br />lo I q-i r"a 01 1 16002 53600 <br />01 1 16002 53602 <br />0'l '1 16002 53601 <br />01 1 16002 53603 <br />GAL ". <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 />011 16002 51604 <br />Acc Bldg P/C # <br />Acc Plmg P/C # <br />Acc Elect P/C # <br />Acc Mech P/C # <br />l.otq1 Sbb 09801001-24045 <br />0980'1001-24045 <br />09801001-24045 <br />09801 001-24045 <br />+7-7 'Y$ <br />$ <br />$ <br />o <br />SMIP-Catego, _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 />0111600251600 <br />011160d2 51601 <br />08901001,24000 <br />01 1 'l 6002'51612 <br />01116002 67770 <br />_3002 57991 <br />01116002,51601 <br />01 1 1 6002 51 602 <br />$ <br />$ <br />$r <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$' <br />$ <br />$ <br />u/2018 I0: tiGA <br />n9i:4u <br />8/ 30 / 2ttt <br />T.lt <br />01 1 1 6002 51 603 <br />09801001 24015 <br />01 1 '16002 51501 <br />12015002 53700 <br />$ <br />$ <br />Misc. Receipt # 7I468 <br />TOTAL <br />d(Receipt <br />Prepared by <br />t( <br />lo> <br />PAID BY: <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />$ <br />.ah rs. <br />h rs. <br />h rs. <br />h rs. <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of FacVPublic Records Research <br />ll rUYJ., <br />Itr <br />/i5-----fttrrir.r-i-ry7;r:- <br />NOTICE: Applications tor plan check submitted under Section <br />105.3.2 ol the 2010 California Building Code will expire if no <br />permits are issued wit n 180 days. <br />Validation