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69069 - Misc. Receipt
Planning & IWing Agency Building Saf Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT ADDRESS: PAID BY: V\/ M C ACELLANEOUS RECEIPT a., SUITE # /u d DATE: 1 - a 3 -1 2 Bldg - Plan Check # 01116002 53600 $ 5--7 4 Plmg - Plan Check # tO, 01116002 53602 $ -7 :7 1 z Elect - Plan Check # 01116002 53601 $ Mech - Plan Check # 01116002 53603 $ 3 4 3! 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 B.Id9 PIC # Lo2 hrs. 09801001-24045 $ 31 `7 '-3 Acc Plmg P/C # '7 -71-, 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/Microfilm 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 Fire Facilities Fee 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 � I Prepared bv: Misc. Receipt # 6 9 0 6 9 12115002 53507 $ 01116002 51600 $ 01116002 51601 $ 08901001 24000 $ 01116002 5V�t�. ,_ _-$ 01116002 57770 $ 3002 57991 $ 01116002 51601 $ 01116002 51602 $ 01116002 51603 $ 09801001 24015 $ 01116002 51501 $ 12015002 53700 $ TOTAL Validation Plink/Cou nterFolder/MiscReceipts/April 2016