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Planning & ing Agency <br />Building Safi y Division ACELLANEOUS <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: CIA,Y <br />' SUITE # <br />PAID BY: L <br />UVl DATE: <br />r' <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 PIC # hrs. <br />GSWIUGI-24045 <br />$ <br />Acc Plmg PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Elect PIC # hrs. <br />09801001-24045 <br />$ <br />Acc Mech PIC # h rs. <br />09801001-�4045._ . <br />1 <br />194 Cl iZAB TH <br />Boarding Fee (Community Preservation) <br />12115002-53507 <br />R>?ry": 69081 <br />General Plan Update Surcharge <br />01116004 g '""'9 - `` ' <br />, v ors Tot 1 IA?R_99 <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 16op 30aa, Relocy S $200.00 <br />Copies/Microfiim <br />011 1600� <br />t 6623 $62B.98 <br />Residential Development Fee — Specify Acct. No. <br />3002 57991 <br />$ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee — Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee — ElectricaCign,)Fireworks <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, <br />09801001 24015 <br />$ 2 (o . M <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />�� � �A) - QIeff- )0 - *F <br />--� o <br />- <br />$ <br />TOTAL <br />$ Zip U <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />ermits are issued within 180 da s. <br />Receipt <br />Prepared by: gj <br />Misc. Receipt # 6908 i <br />Validation <br />PlinklCounterFoiderlMiscReceipts/April 2016 <br />