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69066 - Misc. Receipt
Planning & 4bjing Agency Building Safe Division 20 Civic Center Plaza P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org ACELLANEOUS RECEIPT sw PROJECT ADDRESS: �O (.p �A )_ SVIX�`C IU X' SUITE # L PAID BY: CN 1 -1V1 ", '�vn-v cw DATE: i Bldg — Plan Check # '" \101116002 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. 09801001-24045 $ 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) 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 $ Copies/Microfilm 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, ign, ireworks 09801001 24015 $ Fireworks Stands Fee 01116002 51501 $ Fire Facilities Fee 12015002 53700 $ �;Z oYn TOTAL $ ?`{_7p_ CAD 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: f Misc. Receipt # 6 9 0 6 6 Validation Piink/Cou nterFolder/MiscReceipts/April 2016