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Planning & Bf ing 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 />�s�:��-�s:�:•- ,�sa�.sr�•.a�ae�ee�rar;t�.ta} <br />PROJECT ADDRESS: <br />PAID BY: <br />Bldg — <br />Plan Check # <br />Plmg — Plan Check # <br />Elect <br />— Plan Check # <br />Mech <br />— Plan Check # <br />Fire — <br />Plan Check # <br />is <br />MISCELLANEOUS <br />RECEIPT <br />011-01-5401 <br />011-01-5402 <br />011-01-5403 <br />011-01-5405 <br />011-01-5401 <br />SUITE # <br />DATE: `7 / a't n <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 # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />hrs. <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 $ <br />per <br />011-01-5911 <br />$ <br />SMIP - 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 />A _ <br />30 Day Temporary Fee — Gas <br />011-01-5910).7/22/20051[$RMAFFEi L01:; (T,H 1102 <br />30 Day Temporary Fee — Electrical <br />- <br />011-01-591i, <br />gibUl1Ci1 <br />Ci L�N !�ewG 7,'2i1C�i:i� 1u:1�Rti <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-361�'�glQhk <br />Ti hL: $0" 233 <br />tr-tl <br />Building <br />$ $193.00 <br />CHANGE <br />1•J .03 <br />$ Ea <br />-TOTAL <br />$ l' ' <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 ennits are issued within 180 da s. Bi1�1[�4�trRgAatirO&Y/jl :3 <br />Receipt <br />Prepared by: <br />Misc. Receipt # 46692 Validation <br />