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Planning & ping Agency i <br />Building Safety Division MISCELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ane.org <br />PROJECT ADDRESS: # <br />PAID BY: DATE: <br />Bldg —NCheck <br />01116002 53600 $ <br />Plmg 01116002 53602 $ <br />Elect 01116002 53601 $ <br />Mech 01116002 53603 $ <br />Fire — 01116002 53600 $ <br />Bldg Permit — Trust/Spe I Inspection 01116002 51601 $ <br />Plmg Permit — Trust/Specia nspection 01116002 51602 $ <br />Elect Permit — Trust/Special In ection 01116002 51603 <br />Mech Permit — Trust/Special Insp tion 01116002 51604 $ <br />Fire Trust 01116002 51601 $ <br />Acc Bldg P/C # hr 01116002 57 0 $ <br />Acc Plmg P/C # hrs. 0 111 6002600 $ <br />Acc Elect P/C # hrs. 011160'A 57600 $ <br />Acc Mech P/C # hrs. 01 11 02 57600 $ <br />Boarding Fee 115002 53507 $ <br />General Plan Surcharge 01 6002 51600 $ <br />Statement of Fact/Record Search 0111 251601 $ <br />SMIP - Category Val$ 0890100 24000 $ <br />Xerox Copy, Microfilm 01116002 770 $ <br />Residential Development Fee — specify Acc No. 300257 1 $ <br />Temporary Certificate of Occupancy 01116002 5160 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ <br />30 Day Temporary Fee — Electrical 01116002 51603 $ <br />Bond: Demo, 30-Day, Relocation, ' n 09801001 24015 $ <br />TOTAL $ <br />NOTICE: Applications for pla checking submitted <br />under Section 105.3.2 of the O10 California Building <br />Code will expire if no permi are issued within 180 days. <br />Receipt <br />Prepared by: <br />Misc. Receipt # y 8 7 9 8 Validation V'D <br />