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Planning & Wing Agency <br />Building SafWDivision OCELLANEOUS <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: C E�4 /Z <br />cc ✓ SUITE # <br />PAID BY: <br />DATE: <br />—7 J <br />r `l <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 />Acc Bldg P/C # hrs. <br />0980101; <br />�• <br />Acc Plmg P/C # hrs. <br />09801001-24045H <br />i$nnso: 93 1 <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />;g $ 7/) /?018 , : ,2 PM <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ $222.16 <br />Boarding Fee (Community Preservation) <br />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />*` <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ s1: <br />SMIP - Category Val$ <br />08901001 24000***+tit* <br />$4 <br />Building Standards Revolving Fund <br />01116002 51612 <br />$ <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 />94 <br />S <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 1180 days. <br />Receipt <br />Prepared by: (✓(C1 l'L <br />K-e <br />Misc. Receipt # 71199 <br />Validation <br />