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Planning & Sting 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />C`C #t�V' <br />PROJECT ADDRES SZ� <br />` ' SUITE <br /># <br />PAID BY: ��(! <br />DATE: <br />Bldg — Plan Check # 3 7j <br />011-01-5401 <br />$� <br />Plmg -- Plan Check # <br />011-01-5402 <br />$ <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 />Acc Bldg PIC # <br />Acc Plmg PIC # <br />Acc Elect PIC # <br />011-01-5911 $ <br />h rs. 011-01-5621-508 $ <br />h rs. 011-01-5621-508 $ <br />hrs. 011-01-5621-508 $ <br />Acc Mech PIC # hrs. 011-01-5621-508 $ <br />503 <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 />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no perrpits are issued within 180 days <br />Receipt <br />Prepared by: <br />rvt c lv�4 <br />TOTAL <br />Misc. Receipt # 46637 Validation <br />