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69078 - Misc. Receipt
Planning & doing 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 ACELLANEOUS RECEIPT PROJECT ADDRESS: �� �� SUITE # `, PAID BY: C S C �>,1cQ_ 1 C1L I�C��, DATE: I— QLA— I Q Bldg — Plan Check # Plmg — Plan Check # Elect — Plan Check # Mech — Plan Check # --) I�- iIQ1L_ C7= 01116002 53600 $ 01116002 53602 $ 01116002 53601 $ 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 PIC # hrs. 09801001-24045 $ Acc P1mg PIC # hrs. 09801001-24045 $ Acc Elect PIC # hrs. 09801001-24045 $ Acc Mech PIC # 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 01116002 51612 $ CopfesfMFicxvfitm 01116002 57770 $ Residential Development Fee — Specify Acct. No. 3002 57991 $ Temporary Certificate of Occupancy 01116002 51601 $ 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 t 05.3.2 of the 2010 California Building Code will expire if no Dermits are issued within 180 days. Receipt Prepared Misc. Receipt # 6W8 TOTAL Validation Plink/CounterFolder/MiscRecei ptslApril 2016