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Planning & Beng 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 />PROJECT ADDRESS: -7 ° wr G VI C l�i�j. SUITE # <br />PAID BY: Tnev— Q9,tS A h DATE: �- 1 <br />os— <br />Bldg — Plan Check # 011-01-5401 $ <br />Plmg — Plan Check # 011-01-5402 $ <br />Elect — Plan Check # 011-01-5403 $ <br />Mech — Plan Check # 011-01-5405 $ <br />Fire — Plan Check # f 011-01-5401 $ '70 <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 Pl mg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />h rs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />Statement of Fact/Record Search <br />Microfilming of Records $ per <br />SMIP - Category Val$ <br />Xerox Copy <br />Residential Development Fee - Specify District # <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee -- Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign <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: 2L- 22 %Kij c �/ Z <br />121-01-5579 $ <br />011-01-5911 $ <br />011-01-5911 $ <br />089-01-3611 $ <br />11-508-6311 $ <br />301-01-5070 — $ <br />011-01-5911 $ <br />011-01-5912 $ <br />011-01-5913 $ <br />098-01-3611-507 $ <br />TOTAL $ <br />It VI '3UIILU mi <br />F'G:7/7; 20051D:RMAFFEl LOC: <br />UST: I1: i6`'7 <br />0067 CIUll1 0(iC 141G 717/20r -2 :laF'i1 <br />1RANSACTION TOTAL: $;13 <br />. <br />Building E <br />, 13. Li <br />CHANGE <br />Misc. Receipt # 46579 <br />Validation <br />