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45778 - 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 MISCELLANEOUS RECEIPT PROJECT ADDRESS: Z-2 1 2- YI SUITE # PAID BY: '1 zz DATE: Bldg —Plan Check # 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 # h rs. 011-01-5621-508 $ Acc Plmg PIC # h rs. 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 $ TOTAL $ $ NOTICE: Applications for plan checking issued under City of Santa Ana the provisions of Section 107.4 of the California Building PD; 3111/0510:SC:ALOEROLOC:: C:TYH - 003 Code will expire if no permits are issued within 180 days. OUST: Oilii 41E}01 TRANSA010H Building INV;45778 I}0102058 3/11/05 11.11111i'I TOTAL: f261.20 f261.20 Receipt Prepared by: _j CHANGE $300.20 f 39.0Iri Misc. Receipt # 45778 Validation