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Planning & B*ng 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 />'ti7!.-H1 <br />i <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: Y SUITE # <br />PAID BY: DATE: <br />Bldg — Plan Check #s011-01-5401 $ ri <br />Plmg — Plan Check # 011-01-5402 $ L <br />Elect — Plan Check # 011-01-5403 $ <br />Mech — Plan Check # 011-01-5405 $ <br />Fire — Plan Check # 011-01-5401 $ <br />Bldg Permit -- Trust/Special Inspection 011-01-5911 $ <br />Plmg Permit — Trust/Special Inspection 011-01-5912 $ <br />Elect Permit — Trust/Special Inspection 011-01-5913 $ <br />Mech Permit — Trust/Special Inspection 011-01-5915 $ <br />Fire Trust 011-01-5911 $ <br />Acc Bldg P/C # hrs. I_ 011-01-5621-508 $ <br />Acc PI mg P/C # hrs. 011-01-5621-508 $ <br />Acc Elect PIC # hrs. 011-01-5621-508 $ <br />Acc Mech P/C # hrs. 011-01-5621-508 $ <br />Boarding Fee 121-01-5579 $ <br />Statement of Fact/Record Search 011-01-5911 $ <br />Microfilming of Records $ per 011-01-5911 $ <br />SM I P - Category Val$ 089-01-3611 $ <br />Xerox Copy 11-508-6311 $ <br />Residential Development Fee - Specify District # 301-01-5070 — $ <br />Temporary Certificate of Occupancy 011-01-5911 $ <br />30 Day Temporary Fee — Gas 011-01-5912 $ <br />30 Day Temporary Fee — Electrical 011-01-5913 $ <br />Bond: Demo, 30-Day, Relocation, Sign 098-01-3611-507 $ <br />TOTAL <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(-\ n --)07 <br />Misc. Receipt # 46566 Validation <br />