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Planning & Blaing 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 />�J <br />MISCELLANEOUS <br />RECEIPT <br />PROJECT ADDRESS: SUITE # <br />PAID BY: I C L r- ���c y DATE:Q- <br />Bldg - Plan Check # <br />011-01-5401 <br />$ <br />Plmg - Plan Check # <br />011-01-5402 <br />$ <br />Elect - Plan Check #:j <br />p 2 _ <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 />011-01-5913 <br />$ <br />Mech Permit - Trust/Special Inspection <br />011-01-5915 <br />$ <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 # r7v� <br />hrs._ <br />011-01-5621-508 <br />$ _ ' 31 <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 Val$ <br />089-01-3611 <br />$ <br />Xerox Copy <br />11-508-6311 <br />$ <br />Residential Development Fee - Specify District # <br />301-01-5070 - <br />$ <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 />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 />Z <br />TOTAL <br />C. 1 i.J U( 6CMct <br />Pu: 3/9/U`'10:IKFLLY LO-, . <br />&-i;,, : IHU:45i6u <br />1`i4 0001 0134.192359 3/11/1.j <br />1RNSAC: FI ON MAL : <br />11dIn9 <br />4l)i101FIB <br />lredIt lard Fee <br />A u9i1)01 <br />MANU <br />4Ya.: <br />Misc. Receipt # 45760 Validation <br />