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Planning & ling 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 />• <br />MISCELLANEOUS <br />RECEIPT <br />SUfTE # <br />DATE: Z— 1 in -- <br />Bldg — Plan Check # <br />01116002 53600 <br />$ <br />Plmg — Plan Check # <br />01116002 53602 <br />$ <br />Elect — Plan Check # <br />01116002 53601 <br />$ <br />Mech — Plan Check # <br />01116002 53603 <br />$ OF <br />Fire — Plan Check # <br />01116002 53600 <br />Bldg Permit — Trust/Special In ection <br />01116002 51601 <br />$ <br />Plmg Permit — Trust/Special Ins ction <br />01116002 51602 <br />$ <br />Elect Permit — Trust/Special Inspe ion <br />01116002 5160 <br />$ <br />Mech Permit — Trust/Special Inspecti <br />01116002 516 4 <br />$ <br />Fire Trust <br />01116002 5 01 <br />$ <br />Acc Bldg P/C # <br />hrs. <br />0111 00 57600 <br />$ <br />Acc Plmg P/C # <br />hrs. <br />01116 02 57600 <br />$ <br />Acc Elect P/C # <br />hrs. <br />011 002 57600 <br />$ <br />Acc Mech P/C # <br />hrs. <br />16002 57600 <br />$ <br />Boarding Fee <br />General Plan Surcharge <br />Statement of Fact/Record Search <br />SMIP - Category Val$ <br />Xerox Copy, Microfilm <br />Residential Development Fee — specify <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocation, Sign, <br />M <br />NOTICE.- Applications for plan the ing submitted <br />under Section 105.3.2 of the 2010 alifornia Building <br />Code will expire if no permits are i sued within 180 da s <br />Receipt , <br />Prepared by: <br />1211 2 53507 <br />0111600 1600 <br />01116002 5 01 <br />08901001 240 <br />01116002 57770 <br />3002 57991 <br />01116002 51601 <br />01116002 51602 <br />01116002 51603 <br />0980100124015 <br />TOTAL <br />Misc. Receipt # $ 7 9f Validation <br />