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61711 - Misc. Receipt
Planning & &Ing Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org • MISCELLANEOUS RECEIPT PROJECT ADDRESS: 71 7 SUITE # PAID BY: Gil q Jr- aQO,��rNG �( L`wN�t-�C7 PRoPEzT++� DATE: Bldg - Plan Check # / D S1$ c9 & 8- 01116002 53600 $ Plmg - Plan Check # 01116002 53602 $ Elect - Plan Check # 01116002 53601 $ Mech - Plan Check # 01116002 53603 $ /�1. 6 2- Bldg Permit - Inspection/Special Inspection 01116002 51601 $ Plmg Permit - Inspection/Special Inspection 01116002 51602 $ Elect Permit - Inspection/Special Inspection 01116002 51603 $ Mech Permit - Inspection/Special Inspection 01116002 51604 $ Acc Bldg P/C # hrs. 01116002 57600 $ Acc Plmg P/C # hrs. 01116002 57600 $ Acc Elect P/C # hrs. 01116002 57600 $ Acc Mech P/C # hrs. 01116002 57600 $ Boarding Fee (Community Preservation) General Plan Update Surcharge Statement of Fact/Public Records Research SMIP - Category Val$ Building Standards Revolving Fund Copies/Microfilm Residential Development Fee - Specify Acct. No. Temporary Certificate of Occupancy 30 Day Temporary Fee - Gas 30 Day Temporary Fee - Electrical Bond: Demo, 30-Day, Relocation, Sign, Fireworks Fireworks Stands Fee Fire Facilities Fee 0A,1fA) V- gRauP- NG L39A s3?cLJNi r (-, r-VoPf-? T' ifrS DB& daixr-- Srizf ET- A?Ai-zMr=�yTS ,i Yy 1�; Z__ &-Ae.je- FvCT- DP- L-AK% CA gZ6 � 39zL NOTICE. Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no Dermits are issued within 180 days. Receipt Prepared bv: 12115002 53507 $ 01116002 51.600 $ 01116002 51601 $ 08901001 24000 $ 01116002 51612 $ 01117002 57770 $ 3002 57991 $ 01116002 51601 $ 01116002 51602 $ 01116002 51603 $ 09801001 24015 $ 01116002 51501 $ 12015002 53700 $ TOTAL Misc. Receipt # 6 17 11 Validation