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Planning & Bung 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 />PROJECT ADDRESS <br />S LJ <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: <br />DATE: <br />L0 ' " J <br />Bldg — Plan Check # <br />01-01-5401 <br />$ <br />Plmg — Plan Check # <br />01-01-5402 <br />$ <br />Elect — Plan Check # <br />01-01-5403 <br />$ <br />Mech — Plan Check # <br />011 1-5405 <br />$ <br />Fire — Plan Check # <br />011- 1-5401 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />0W-2 <br />$ <br />Plmg Permit — TrustlSpecial Inspectio <br />0$ <br />Elect Permit — Trust/Special Inspecti <br />7 <br />0$ <br />Mech Permit — Trust/Special Inspec on <br />$Fire <br />Trust <br />0 <br />Acc Bldg P/C # hrs. <br />011-01- 1- 8 <br />$ <br />Acc Plmg P/C # h rs. <br />011-01-56 -508 <br />$ <br />Acc Elect P/C # hrs. <br />011-01- 1-508 <br />$ <br />Acc Mech P/C # hrs. <br />011-0 - 21-508 <br />$ <br />Boarding Fee <br />1 -01-5579 <br />$ <br />Statement of Fact/Record arch <br />011-01-5911 <br />$ <br />Microfilming of Records $ er <br />011-01-5911 <br />$ <br />SM1P - Ca ory <br />089-01-3611 <br />$ <br />�Va <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Develo ent Fee - Sp ifDistrict # <br />301-01-5070 — <br />$ <br />Temporary Certificate Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electr <br />011-01-5913 <br />$ <br />Bond: Demo, 0-Day, Reloc ion, Sign <br />098-01-3611-507 <br />$ <br />l J <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits.are issued within 180 da s. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 46730 Validation <br />