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Planning & Bu ing Agency <br />Building SafeWivision <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 />AWELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: `foo0 <br />,_rP'►ti-af7 <br />SUITE # <br />PAID BY: WSN[� <br />_ DATE: <br />Bldg — Plan Check # SPC JOf <br />_ q�, 3 <br />01116002 53600 <br />$ `f 4 �z <br />Plmg — Plan Check # �jp j 3 q' <br />3 3�f <br />01116002 53602 <br />$ 37 Gs <br />Elect — Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116402r416P4 <br />_ 4,5/20tR TO: rrui-, <br />_Meth Permit — Inspection/Special Inspection <br />01116f2e5iq 604H <br />7r$tns:: 37 t (11 <br />R-If .. <br />Acc Bldg P/C # hrs. <br />09801 01-24045 rot,, $1, 31 . <br />Acc Plmg P/C # hrs. <br />09801P,017�40458(. <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001', ?t045' 't I <br />Boarding Fee (Community Preservation) <br />12115002 53507 3602 S1_ - <br />General Plan Update Surcharge <br />01116002 51600 <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01116002 57770 <br />$ <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />09801001 24015 <br />$ <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ <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 />Prepared by: 1%✓�` <br />Misc. Receipt # 712 7 2 <br />Validation <br />