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Planning & B10ing 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 />PROJECT <br />• <br />MISCELLANEOUS <br />RECEIPT <br />PAID BY: Q/1 c� /t lLc� DATE: -- <br />Bldg — Plan Check # <br />011-01-5401 <br />$ <br />Plmg — Plan Check # <br />011-01-5402 <br />$ <br />Elect — Plan Check # <br />011-01-5403 <br />$ <br />Mech — Plan Check # <br />011-01-5405 <br />$ <br />Fire — Plan Check # <br />011-01-5401 <br />$ <br />Bldg Permit — Trust/Special Inspection <br />011-01-5911 <br />$ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5912 <br />$ <br />Elect Permit — Trust/Special Inspection <br />6A- L v 011-01-5913 <br />$ ! LILY <br />Mech Permit — Trust/Special Inspection <br />�/\ <br />011-01-5915 <br />$ / D (� • 02-8 <br />Fire Trust <br />011-01-5911 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Acc Mech P/C # <br />hrs. <br />011-01-5621-508 <br />$ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Fact/Record Search <br />011-01-5911 <br />$ <br />Microfilming of Records $ <br />per <br />011-01-5911 <br />$ <br />SMIP - Category I Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 — a <br />$ / b <br />Temporary Certificate of Occupancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electrical <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />TOTAL <br />$ 1 D <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: A <br />M isc. Receipt # 45528 <br />i.UST: <br />INV:45520 <br />Ut)28 0001 <br />00089164 2/3/1)"1 <br />]RANSACTIUN <br />1UTAL. 31Uei ir.11 <br />Bui Id my <br />Ruildins <br />314{•`�=' <br />suildins <br />sIP106.•18 <br />rui1din9 <br />S244-4'i <br />But ld,ny <br />$86.:..._ <br />emj Id ia[y <br />$1'•:•.+.if'l .till <br />Bu i Id i r« <br />S6U5. 1: s <br />* 18 r 102 . Y 1 <br />CNANU <br />Si'. <br />Validation <br />