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100 N Harbor Blvd Unit# C-1 - Misc. Receipt
Planning & Bing 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 n U MISCELLANEOUS RECEIPT PROJECT ADDRESS: SUITE # PAID BY: DATE: p -� Bldg — Plan Check # 011-01-5401 $ Plmg — Plan Check # 011-01-5402 $ Elect — Plan Check # 011-01-5403 $ Mech — Plan Check # 011-01-5405 $ Fire — Plan Check # 011-01-5401 $ Bldg Permit — Trust/Special spection 011-01-5911 $ Plmg Permit — Trust/Spe i Inspe ' n -01-5912 $ Elect Permit — Trust/S cial ection 011 01-5913 $ Mech Permit —Trust/ al Inspection 011 01-5915 $ Fire Trust 01-01-5911 $ Acc Bldg P/C # hrs. 01 - 621-508 $ Acc Plmg P/C # s. 011-01-5 - $ Acc Elect P/C # hrs. 011- - 621-508 $ Acc Mech P/C # hrs. 0 -01-5 $ Boarding Fee Statement of Fact/Record Search Microfilming of Records $ per SMIP - Category Val$ Xerox Copy Residential Development Fee - Specify District # Temporary Certificate of Occupancy 30 Day Temporary Fee — Gas 30 Day Temporary Fee — Electrical Bond: Demo, 30-Day, Relocation, Sign NOTICE: Applications for plan checking issued under the provisions of Section 107.4 of the Califomia Building Code will expire if no permits are issued within 180 days Receipt Prepared by: 121-01-55 9 N4_-�01-5599 1 011-0 - 1 089-01-3611 11-508-6311 301-01-5070 011-01-5911 011-01-5912 011-01-5913 098-01-36t1-507 TOTAL Misc. Receipt # 46709 Validation