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Planning & aging 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 />III <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: n �r , 7 ��( �SUITE # <br />PAID BY: DATE: 3 ^ 6—O --5— <br />Bldg — <br />Plan Check # <br />Plmg <br />— Plan Check # <br />Elect -- Plan Check # <br />Mech <br />— Plan Check # <br />Fire — <br />Plan Check # <br />1-01-5401 $ <br />011-01-540 $ <br />1-01-54 3 $ <br />011- - 05 $ <br />011-01-5401 $ <br />Bldg Permit — <br />Trust/Special Inspection <br />011-01-5911 $ <br />Plmg Permit — Trust/Special Inspection <br />011-01-5 12 $ <br />Elect Permit <br />— Trust/Special Inspection <br />011-01- 13 $ <br />Mech Permit <br />— Trust/Special Inspection <br />11-01 915 $ <br />Fire Trust <br />01 0 -5911 $ <br />Acc Bldg P/C # hrs. 011-01-5621-508 $ <br />Acc Plmg P/C # hrs. 011-01-5621-508 $ <br />Acc Elect P/C # hrs. 011-01-5621-508 $ <br />Acc Mech P/C # hrs. 011-01-5621-508 $ <br />Boarding Fee <br />Statement of Fact/Record Search <br />Microfilming of Records $ e <br />SMIP - Category Val$ <br />Xerox Copy <br />Residential Development Fee - Spec► District # <br />Temporary Certificate of Occupancy <br />30 Day Temporary e — Gas <br />30 Day Temporary Fee Electrical <br />Bond: Demo, 30-Day, Rel ation, Sign <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 />011-01-5911 $ <br />011-01-5911 $ <br />089-01-3611 $ <br />11-508-6311 $ <br />301-01-5070 — $ <br />011-01-5911 $ <br />011-01-5912 $ <br />011-01-5913 $ <br />098-01-3611-507 $ <br />TOTAL $ <br />Misc. Receipt # 45795 Validation <br />