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Planning & E&ing Agency 0 <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-ana.org <br />PROJECT ADDRESS: ��n SUITE # <br />PAID BY: 6 - 3 [� DATE. a — T % 2— <br />Bldg — Plan Check # 01116002 53600 $ <br />Plmg — Plan Check # 01116002 5-302.. $ <br />Elect — Plan Check # 01116002 53601 $ <br />Mech — Plan Check # 01116002 53603 $ <br />Fire — Plan Check # 01116002 53600 $ <br />Bldg Permit — Trust/Special Inspection 01116002 51601 $ <br />Plmg Permit — Trust/Special Inspection 01116002 51602 $ <br />Elect Permit — Trust/Special Inspection 01116002 51603 $ <br />Mech Permit — Trust/Special Inspection 01116002 51.604 $ <br />Fire Trust 01116002 51601 $ <br />Ace Bldg P/C # hrs. 01116002 57600 $ <br />Ace Plmg P/C # hrs. 01116002 57600 $ <br />Ace Elect P/C # hrs. 01116002 57600 $ <br />Ace Mech P/C # hrs. 01116002 57600 $ <br />Boarding Fee 12115002 53507 $ <br />General Plan Surcharge 01116002 51600 $ <br />Statement of Fact/Record Search 01116002 51601 $ <br />SMIP - Category Val$ 08901001 24000 $ <br />Xerox Copy, Microfilm 01116002 57770 $ <br />Residential Development Fee — specify Acct. No. 3002 57991 $ <br />Temporary Certificate of Occupancy 01116002 51601 $ <br />30 Day Temporary Fee — Gas 01116002 51602 $ Q <br />30 Day Temporary Fee — Electrical 01116002 51603 $ <br />Bond: Demo, � Relocation, Sign 09801001 24015 $ / 000 0" <br />BR4 Si $ <br />133 5 I'if L $ <br />S U Tq 'U '20 y TOTAL $y — <br />NOTICE: Applications for plan checking submitted <br />under Section 105.3.2 of the 2010 California Building <br />Code will expire if no permits are issued within 180 da s. <br />Receipt <br />Prepared by: k-14 Y�l a �� Z <br />Misc. Receipt # 058749 Validation <br />W P51 <br />Fees 2011-2012YMisc Receiptsl9-20-2011 <br />