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L� <br />Planning & Building 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. 1 o?- 9I L rl/�/ P�- <br />PAID BY: <br />0 <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />O rL-L.V DATE: <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect -- Plan Check # a2c / j <br />01116002 53601 <br />_ <br />$ 151 <br />Mech - Plan Check # ^ �Q / ��3 0 y <br />01116002 53603 <br />$ <br />Fire -- Plan Check # <br />01116002 53600 <br />$ <br />Bldg Permit - Trust/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Trust/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Trust/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Trust/Special Inspection <br />01116002 51604 <br />$ <br />Fire Trust <br />01116002 51601 <br />$ <br />Acc Bldg P/C # 1 / CO `�'� S hrs. <br />Acc Plmg P/C # hrs. <br />Acc Elect P/C # hrs. <br />Acc Mech P/C # hrs. <br />01116002 57600 <br />01116002 57600 <br />01116002 57600 <br />01116002 57600 <br />$ S 6a <br />$ _ <br />$ _ <br />$ - <br />Boarding Fee <br />12115002 53507 <br />$ <br />Statement of Fact/Record Search <br />01116002 51601 <br />_ <br />$ <br />Microfilming of Records $ per <br />01116002 51601 <br />$ Y <br />SMIP - Category Val$ <br />08901001 24000 <br />$ <br />Xerox Copy <br />01117002 57770 <br />$ <br />Residential Development Fee - specify Acct. No. <br />3002 57991 <br />$ <br />v_ <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee - Gas <br />01116002 51602 <br />$ <br />30 Day Temporary Fee - Electrical <br />01116002 51603 <br />$ <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 24015 <br />$ <br />TOTAL <br />$ <br />NOTICE: Applications for plan checking submitted <br />under Section 105.3.2 of the 2007 California Building <br />Code will expire if no permits are issued within 180 days. <br />Receipt <br />Prepared by: K4 0A a. L 7. <br />Misc. Receipt # 5 5 8 5 2 11 <br />Validation <br />BN directory <br />Fee Schedule/Misc Receipts/July 2009 <br />