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71210 - Misc. Receipt
Planning &ilding Agency Building SlWy 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: ��l % 3! N -/rift'e' W SUITE # PAID BY: l�! m DATE: Bldg - Plan Check # 11(o 01116002 53600 $ _ �2(�2 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. 09801001--NO45 $ Acc Plmg P/C # hrs. 09801001-24045 $ Acc Elect P/C # hrs. 09801001-24045 $ Acc Mech P/C # hrs. 09801001-24045 $ Boarding Fee (Community Preservation) 12115002 53507 $ General Plan Update Surcharge 01116002 51600 $ Statement of Fact/Public Records Research 01116002 51601 $ SMIP - Category Val$ 08901001 24000 $ Building Standards Revolving Fund 01116 UD7,1- t z -_7, $ - Copies/Microfilm 01116002 57770 , of a$ Residential Development Fee - Specify Acct. No. 3002 579911 $ Temporary Certificate of Occupancy 01116002 51601 $ 30 Day Temporary Fee - Gas 01116002 516025361)1'11,$ ` 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 $ TOTAL $ r NOTICE: Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no permits are issued withiij 180 days. Receipt Prepared by: �f JLGir->�7i Misc. Receipt # 71210 Validation