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Planning & Bang 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 ADDRESS: <br />PAID BY: <br />Bldg — Plan Check # <br />Plmg — Plan Check # <br />Elect — Plan Check # <br />Mech — Plan Check # <br />Fire — Plan Check # <br />Bldg Permit — Trust/Special Inspection <br />Plmg Permit — Trust/Special Inspection <br />Elect Permit — Trust/Special Inspection <br />Mech Permit — Trust/Special Inspection <br />Fire Trust <br />10 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # U 0h `i <br />DATE: `LQ - <br />011-01-5401 $ <br />011-01-54 <br />011-01-5 03 $ <br />011-01-5 05 $ <br />011-01-5 01 $ <br />011-01 1 $ <br />011-01-5 <br />011-01-5 1 <br />1-01- 915 $ <br />01 01 5911 $ <br />Acc Bldg P/C # hr 011--5621-508 $ <br />Acc Plmg P/C # rs. 01-5621-508 $ <br />Acc Elect P/C # hrs. 01-01-5621-508 $ <br />Acc Mech P/C # hrs. 011-01-5621-508 $ <br />Boarding Fee <br />121-01-5579 <br />$ <br />Statement of Factl ord Sear h <br />011-01-5911 <br />$ <br />%eclming <br />Microfiof Recs $ <br />011-01-5911 <br />$ <br />SMIP -Category Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development ee - Sp ify District # <br />301-01-5070 — <br />$ <br />Temporary Certificate of Oc pancy <br />011-01-5911 <br />$ <br />30 Day Temporary Fee — Gas <br />011-01-5912 <br />$ <br />30 Day Temporary Fee — Electric <br />011-01-5913 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />098-01-3611-507 <br />$ <br />$ <br />$ <br />TOTAL <br />$ <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 />Misc. Receipt # 45797 Validation <br />