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Planning & Bteng Agency <br />Building Safety Division <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 />PROJECTADDRESS <br />PAID BY: <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />- ^ti.,e-k # <br />11 <br />MISCELLANEOUS <br />RECEIPT <br />CJCI t - <br />1 <br />SUITE # <br />DATE: <br />Q <br />g O <br />011-01-5401 <br />$ <br />011-01-5402 <br />$ <br />011-01-5403 <br />$ <br />011-01-5405 <br />$ <br />011-01-5401 <br />$ <br />scial Inspection <br />011-01-5911 <br />$ <br />ecial Inspection <br />011-01-5912 <br />$ <br />ecial Inspection <br />011-01-5913 <br />$ <br />)ecial Inspection <br />011-01-5915 <br />$ <br />011-01-5911 <br />$ <br />hrs. 011-01-5621-508 $ r <br />hrs. t. 011-01-5621-508 $ I Kv. <br />hrs. T 011-01-5621-508 $ <br />h rs. 011-01-5621-508 $ G <br />ord Search <br />s $ per <br />Val$ <br />ent Fee - Specify District # <br />of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee -- Electrical <br />Bond: Demo, 30-D y, Relo tiV <br />ign <br />G X-eC u-N v� (7 y 0 <br />rV I 1 <br />NOTICE: Applications for plan checking issued under <br />the provisions of Section 107.4 of the California Building <br />Code will expire if no permits are issued within 180 days <br />Receipt <br />Prepared by: <br />121-01-5579 <br />$ <br />011-01-5911 <br />$ <br />011-01-5911 <br />$ <br />089-01-3611 <br />$ <br />11-508-6311 <br />$ <br />301-01-5070 — <br />$ <br />011-01-5911 <br />$ <br />011-01-5912 <br />$ <br />011-01-5913 <br />$ <br />098-01-3611-507 <br />$ <br />$ <br />TOTAL <br />$ m) <br />Misc. Receipt # 45562 Validation <br />g , , :Xanta AnO <br />GUST: <br />D:CK1- .,_r LOG: (.i <br />0032 � 001 <br />1NV:4C562 <br />01li189473 2/8/r]5 2:0his <br />IkANSAUION <br />TOTAL: <br />$uildin9 <br />GBEd.Ii <br />Rurldins <br />Building <br />$89.36 <br />Building <br />$174.84 <br />4 <br />Building <br />.; <br />RuiIdrt�s <br />S1r131.Uu <br />Building1�lr <br />Building <br />$188.'.Hj <br />CK <br />318B.5u <br />�-HANUE <br />$2 ► 972 ..i z <br />U.U0 <br />