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Planning & Bring 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 — an Check # <br />Mech — PI Check # <br />Fire — Plan eck # <br />Bldg Permit — Th <br />Plmg Permit — Ti <br />Elect Permit — Ti <br />Mech Permit — T <br />Fire Trust <br />st/Special Inspection ` <br />tlSpecial I spection - <br />is pecialln ection�, <br />ust/ eciallnso tion <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />DATE: <br />011-01- 01 <br />011-01 402 <br />011- -5403 <br />01 01-5405 <br />0 1-01-5401 <br />011-01-5911 $ <br />011-01-591 <br />011-01-5 <br />011-01-5915 $ <br />011-01-5911 $ <br />Acc Bldg P/C # <br />hrs. <br />011-01-5621-508 $ <br />Acc Plmg P/C # <br />hrs <br />011-01-5621-508 $ <br />Acc Elect P/C # <br />h <br />011-01-5621-508 $ <br />Acc Mech P/C # <br />% rs. <br />011-01-5621-508 $ <br />Boarding Fee <br />Statement of Fac car Search <br />Microfilming of Recor $ <br />SMIP -Category Va <br />Xerox o y <br />Residential ment Fee - ecif <br />Temporary Certificate o cy <br />30 Day Temporary Fee — as <br />30 Day Temporary Fee lectrical <br />Bond: Demo, 30-Day, elocation, Sign <br />per <br />District # <br />NOTICE: Ap46Wations 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 <br />121-01-5579 <br />$ <br />011-01-5911 <br />$ <br />011-01-5911 <br />$ <br />089-01-3611 <br />$ <br />11-508-6311 <br />$ <br />301-01-5070 — <br />$ <br />-5911 <br />11-01 <br />$ <br />-5912 <br />$ <br />01 01-5913 <br />$ <br />098--3611-507 <br />$ <br />�� <br />$ + <br />TOTAL $ <br />Misc. Receipt # 45712 Validation <br />