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69105 - Misc. Receipt
Planning & ing Agency Building Safe Division URCELLANEOUS 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 v►rww.santa-ana.org PROJECT DRESS: 1 1`1-T-Z51lC►-Vj-Cw SUITE # PAID BY: l�' �"Yl DATE: �' )'-!�l ; � 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. 09W1001-24045 $ �] . 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) General Plan Update Surcharge Statement of Fact/Public Records Research SMIP - Category Val$ Building Standards Revolving Fund Copies/Microfiim 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 12115002 53507 01116002 51600 01116002 51601 08901001 24000 01116002 51612 01116002 57770 3002 57991 01116002 51601 01116002 51602 01116002 51603 0980100124015 01116002 51501 Fire Facilities Fee 12015002 53700 1nI NOTICE: Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no permits are issued within 180 days. Receipt Prepared by: IMM Misc. Receipt # 69105 Pi i n klCounterFolderlMiscRecei ptslApri 12016 TOTAL Validation r'lan `Jecl: CL _.`ie':k 1,1205