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45676 - Misc. Receipt
Planning & Bing 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 0 MISCELLANEOUS RECEIPT PROJECT ADDRESS: L fi Y r / SUITE # PAID BY: C f G bj; A -d3WJ DATE: a` o-2 o Bldg — Plan Check # o 011-01-5401 $ Plmg — Plan Check # 011-01-5402 $ Elect — Plan Check # 011-01-5403 $ Mech — Plan Check # 011-01-5405 $ Fire — Plan Check # 011-01-5401 $ Bldg Permit — Trust/Special Inspection 011-01-5911 $ Plmg Permit — Trust/Special Inspection 011-01-5912 $ Elect Permit — Trust/Special Inspection 011-01-5913 $ Mech Permit — Trust/Special Inspection 011-01-5915 $ Fire Trust 011-01-5911 $ Acc Bldg PIC # hrs. 011-01-5621-508 $ Acc Plmg PIC # hrs. 011-01-5621-508 $ Acc Elect PIC # hrs. 011-01-5621-508 $ Acc Mech PIC # hrs. 011-01-5621-508 $ Boarding Fee 121-01-5579 $ Statement of Fact/Record Search 011-01-5911 $ Microfilming of Records $ per 011-01-5911 $ SMIP - Category Val$ 089-01-3611 $ Xerox Copy 11-508-6311 $ Residential Development Fee - Specify District # 301-01-5070 — $ Temporary Certificate of Occupancy 011-01-5911 $ 30 Day Temporary Fee — Gas 011-01-5912 $ 30 Day Temporary Fee — Electrical 011-01-5913 $ Bond: Demo, 30-Day, Relocation, Sign 098-01-3611-507 $ NOTICE: Applications for plan checking issued under the provisions of Section 107.4 of the California Building Code will expire if no permits are issued within 180 days Receipt Prepared by: K ki 6i rt_.h ?I- TOTAL (.1 tS (,, JUi,L:L Ana 2/24/0510!CK GTYH VD; ENVY 4t,676O: GUST; t+uugu877 2/24/►T� 1;3r.ii 1111 i� Uu6U 1. 1kANSA( 1 TOTAL: Buildlog blb3.i CHANGE. Misc. Receipt # 45676 Validation