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69057 - Misc. Receipt
Planning & Ing 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 i MISCELLANEOUS RECEIPT PROJECT ADDRESS: SUITE # PAID BY: DATE: Bldg — Plan Check # Plmg — Plan Check # Elect — Plan Check # Mech — Plan Check # `--�1Cil(-i(-1 01116002 53600 $ a ) 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 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$ 08901004124A0d'�-� 36 - 1' `""'t % ID: El. iZ,�f E_r l Building Standards Revolving Fund 011160 ,,{{T' A `_ :. Copies/Microfilm 0111600-'*. S 9? '; - �'+ j y' '`" ' "' 4' Residential Development Fee — Specify Acct. No. t i on Tot�I 300 Sb1 � Temporary Certificate of Occupancy 01116002 51601 $ 30 Day Temporary Fee — Gas 01116002,6*02 ine $ $20S.91 30 Day Temporary Fee — Electrical 0111600� 536uupW _e� nn het�N, - - I?A5 22 Bond: Demo, 30-Day, Relocation, Sign, Fireworks 0980100192401& 2404`_$rfai- - Fireworks Stands Fee t� 0111606-6k5O ******$*9225 AuthY:03�906 Fire Facilities Fee 12015002 53700 $ obo—__.- NOTICE. Applications for plan check submitted under Section 105.3.2 of the 2010 California Building Code will expire if no vermits are issued within 180 days. Receipt Prepared by: Misc. Receipt # 6 TO �7 Validation $ -s-2, 1 'S PEin#dCounterPolder/MiscReceipts/April 2016