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Planning & Eftling Agency <br />Building SaffflrDivision IOCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: yf W - / 71 r Srr-, <br />SUITE # Q * 73 <br />PAID BY: i <br />DATE: <br />7 f S. 1 g- <br />Bldg — Plan Check # — ftqy 97oi3 —/V <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <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 />01116002 51603 <br />$ <br />Me ermit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # y g70i r hrs. <br />- 45�- ZS Y 7& <br />Acc Plmg P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />12115002,53507 <br />$ «_ <br />General Plan Update Surcharge <br />0111600�'&i,6005727 $ 7/16r21 - <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />rota$ <br />SMIP - Category Val$ <br />08901001 24000 <br />Ve <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />01116002 57770 <br />ec►. <br />Residential Development Fee — Specify Acct. No. <br />3002 5799 <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />iris <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 />Z Z-'AiPA& y.,k <br />ANahwi,.-. , cQ 9Z8-oY <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: <br />Misc. Receipt # 7 12 3 8 <br />Validation <br />