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2800 N Main St Unit# 197 - Misc. Receipt (2)
� J Planning & Building Agency Building Safety Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Arta, CA 92702 (714) 647-5800 www.santa-ana.org 0 MISCELLANEOUS RECEIPT � PROJECT ADDRESS: ��Nf C) "Gu, h SUITE # 7 PAID BY: 1 01,.,..1 r!)n-r�yvC�p. DATE: % f —I l q Bldg - Plan Check # 01116002 53600 $ Plmg - Plan Check # 01116002 53602 $ Elect - Plan Check # 01116002 53601 $ Mech - Plan Check # 01116002 53603 $ 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 5%0l�},f,= Acc Elect P/C # hrs. 01116002-5nO $ P' Acc Mech P/C # hrs. 01116002,�7MIQo„ lots, Y +�- Boarding Fee (Community Preservation) 12115002 535&5" U`'$('" General Plan Update Surcharge 01116002.51600if ical of oc`upanc $425.09 Statement of Fact/Public Records Research # . r- 516f� 01116002 5i'�hl,, li_ $707,61 SMIP - Category Val$ 08901001 24040415***ej 8':'48 Auth;:ubn".16J Building Standards Revolving Fund 01116002 51612 $ Copies/Microfilm 01117002 57770 $ Residential Development Fee - Specify Acct. No. 3002 57991 $ Temporary Certificate of Occupancy 01116002 51601 $ S 30 Day Temporary Fee - Gas 01116002 51602 $ 30 Day Temporary Fee - Electrical 01116002 51603 $ Bond: Demo, 30-Day, Relocation, Sign, Fireworks 09801001 24015 $ Fireworks Stands Fee 01116002 51501 $ Fire Facilities Fee 12015002 53700 $ NOTICE: Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no hermits are issued within 180 days. Receipt _ Prepared bv: V& l�1Qnt,n � r TOTAL Misc. Receipt # 6 2 813 Plink,+ee ScheaulelMlsc Receipls/Aprd. 2013 Validation