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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 />PROJECT ADD SS: <br />PAID BY: ujku bin lor/ 4- <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />DATE: -7-- % d� <br />Bldg - Plan Check # <br />r 9 011-01-5401 <br />$� s� <br />Plmg - Plan Check # <br />011-01-5402 <br />$ <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 PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect PIC # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech PIC # <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 $ 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 />$ <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 />TOTAL <br />$S! <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 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # 46659 Validation <br />