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Planningding Agency <br />Building SEWDivision <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 />f&CELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: �`�2 S /`� <br />� SUITE # <br />0 —F <br />PAID BY: <br />DATE: <br />7�(0 <br />Bldg — Plan Check # <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 />Mech Permit — Inspection/Special Inspection <br />01116002 51604 <br />$ <br />jD hrs. <br />09801001-24045 <br />$ 7f <br />Acc Plmg P/C #— <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 />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />- A9u4diQg_StandK0s Revolving Fund <br />01116002 51612 <br />$ <br />Copies/Microfilm <br />0111604 BEIH <br />Residential Development Fee — Specify Acct. No. <br />3002 &�W*YH <br />i$ans— 18 0 <br />Temporary Certificate of Occupancy <br />011160Met <br />K7PtWM2126 <br />7r; fill! <br />$ 71MI IS 1?:03 uh <br />30 Day Temporary Fee — Gas <br />0111600236-11B02in <br />rota$ $284.76 <br />30 Day Temporary Fee — Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sigh, Fireworks <br />09801 ORIF4015 <br />$ <br />Fireworks Stands Fee <br />011160WWO&I 24045ak- <br />S294.76 <br />- <br />Fire Facilities Fee <br />VIS.76 <br />120150 `> 7QQ******51955 <br />Auth*=100628 <br />TOTAL <br />$ <br />NOTICE. Applications for plan check submitted under Section <br />i 05.3.2 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 # 71217 <br />Validation <br />