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Planning & §Wding Agency <br />Building Sa1W 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 />ACELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: 3 ?j1�� 5-7�/ SUITE #_ <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # <br />01116002 53600 $ <br />Plmg — Plan Check # <br />01116002 53602 $ <br />Elect — Plan Check # <br />01116002 53601 $ <br />Mech — Plan Check # 3 23'qL) <br />01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 $ <br />Plmg Permit — Inspection/Special Inspection <br />01 1602 $ <br />Elect Permit — Inspection/Special Inspection <br />011 6002 51 03 $ <br />Mech Permit — Inspection/Special Inspection <br />0111 002 51 04 $ <br />Acc Bldg PIC # h ` 0980 00 -24045 $ <br />Acc Plmg PIC # S. i 09801 1-24045 $ <br />Acc Elect PIC # hrs. 0980 001-24045 $ <br />Acc Mech PIC # hrs 09801001-24045 $ <br />Boarding Fee (Communi Preserva ion) <br />General Plan Update Surch e <br />Statement of Fact/Public Reco s Research <br />�.- - - SA41P - Category . _ _ _ _ _ VZ4 <br />Building Standards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />NOTICE' Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />Precared <br />12115002 <br />53507 <br />$ <br />01116002 <br />51600 <br />$ <br />01116002 <br />51601 <br />$ <br />08901001 <br />24000 <br />$ <br />01116002 <br />51612 <br />$ <br />01116002 <br />57770 <br />$ <br />3002 <br />57991 <br />$ <br />01116002 <br />51601 <br />$ <br />01116002 <br />51602 <br />$ <br />01116002 <br />51603 <br />$ <br />09801001 <br />24015 <br />$ <br />01116002 <br />51501 <br />$ <br />12015002 <br />53700 <br />$ <br />TOTAL <br />$ <br />Misc. Receipt # 712 9 7 Validation <br />