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45768 - Misc. Receipt
Planning & 1310ing 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 Is MISCELLANEOUS RECEIPT PROJECT AD RESS: I, SUITE # PAID BY: DATE: G Bldg — Plan Check # 5 011-01-5401 $ . 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 P/C # hrs. 011-01-5621-508 $ Acc Plmg P/C # hrs. 011-01-5621-508 $ Acc Elect P/C # hrs. 011-01-5621-508 $ Acc Mech P/C # 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 $ -r� $ $ TOTAL $ LTO 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: manta Ana 3/10/0510C:KELLY LAG: CTYH - I-Gi ISI: INV:4 5768 35 LOW 00092464 3/ 10/i 11 I G : ? 1 F it ANSAC:TION i01AL: Ildln9 $!S3'.4'2 K 3131.4: C ANGE fi+. �fi Misc. Receipt # 45768 Validation