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PROJECT <br />Planning & Aking 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 />.., <br />• <br />MISCELLANEOUS <br />RECEIPT <br />SUITE # <br />PAID BY: �,�,�T� <br />_ DATE: <br />a <br />Bldg - Plan Check # 52 7 4 `f7.7 <br />01116002 53600 <br />$ S 73 <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # .7 ,2 <br />01116002 53601 <br />$ O <br />Mech - Plan Check # Q <br />01116002 53603 <br />$ 57 <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 />Acc Bldg P/C # J ,� j "7 ` -14'7 7 h rs. <br />01116002 57600 <br />$ .1 k g S-D <br />Acc Plmg P/C # T hrs. <br />01116002 57600 <br />$ <br />Acc Elect P/C # hrs. <br />01116002 57600 <br />$ o <br />Acc Mech P/C # hrs. <br />01116002AG.D0i <br />Boarding Fee <br />12115002h7 <br />$ <br />General Plan Surcharge <br />01116002-54600 <br />$ <br />Statement of Fact/Record Search <br />01116002 51601 <br />$ <br />SMIP - Category Val$ <br />08901001 �,4OPOldin9 <br />$ <br />Xerox Copy, Microfilm <br />01116002157;,7, 02 - <br />53601tria- <br />Residential Development Fee - specify Acct. No. <br />3002 f� c l c" <br />i, <br />Temporary Certificate of Occupancy <br />01116002 516fthan <br />i cal <br />30 Day Temporary Fee - Gas <br />i <br />01116002I 2.. lay, <br />� <br />`35Q": <br />.:he_ . <br />30 Day Temporary Fee - Electrical <br />01116002,51C 2 <br />Bond: Demo, 30-Day, Relocation, Sign <br />09801001 '�Adi 5 <br />- <br />TOTAL <br />NOTICE: Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no hermits are issued within 180 da <br />Receipt <br />Prepared by: <br />Misc. Receipt # 6 $ 2 7 Validation <br />