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Planning & Along 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 />C1 <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: � SUITE # <br />PAID BY: <br />DATE: <br />Bldg — Plan Check # <br />01-01-5401 <br />$ <br />Plmg — Plan Check # <br />011- 1-5402 <br />$ <br />Elect — Plan Check # <br />011- 1-5403 <br />$ <br />Mech — Plan Check # <br />011- 1-5405 <br />$ <br />Fire — Plan Check # <br />011- 1-5401 <br />$ <br />Bldg Permit — Trust/Special Inspect' n 011 1-5911 $ <br />Plmg Permit — Trust/Special Inspe tion 011 01-5912 $ <br />Elect Permit — Trust/Special Ins 011-01-5913 $ <br />Mech Permit — Trust/Special Ins ction 011-01-5915 $ <br />Fire Trust 011-01-5911 $ <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 # 11-01-5621-508 $ <br />Boarding Fee <br />Statement of Fact/Record Search <br />Microfilming of Records $ <br />SM I P - Category Val$ <br />Xerox Copy <br />Residential Development Fee Specif <br />Temporary Certificate of Occupan <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign <br />per <br />Dis <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 />1-01-5579 <br />11-01-5911 <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 # 45794 Validation <br />