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69054 - Misc. Receipt
Planning & B&ing Agency Building Saf ivision ACELLANEOUS 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT ADDRESS: I W • bk�- SUITE # PAID BY: fy kcayc N.-)-en DATE: Bldg — Plan Check # 1 y 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 # oLoi L Sit-4 hr& Z 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) 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 Fire Facilities Fee NOTICE: Applications for plan check submitted under Section t 05.3.2 of the 2010 California Building Cade will expire if no permits are issued within 180 days. Receipt Prepared Misc. Receipt # 69054 12115002 53507 $ 01116002 51600 $ 01116002 51601 $ 08901001 24000 $ 01116002 51612 $ 01116002-57770 $ 3002 57991 $ 01116002 51601 $ 01116002 51602 $ 01116002 51603 $ 0980100/ 24015 $ 01116002 51501 $ 12015002 53700 $ TOTAL Validation $ i19 ! . 2 PlinWCou nterf older/MiscReceipts/April 2016