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45763 - Misc. Receipt
Planning & 1341ing 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: SUITE # PAID BY: 1 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 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 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-D y, Relocatio ign 098-01-3611-507 $ ` �i $ I LA TOTAL $ $ per` NOTICE: Applicatibhs for plan checking issued under the provisions of Section 107.4 of the California Building ` of ana Code will expire if no ermits are issued within 180 days. �D:s/9/21�U5 YD:kI�AFFE1 1- LOCI: GT1H - i�ll2 Receipt (11-3 C1053 0002 DIV : 45763 00097420 3/9/2C�ti5 11:3;'Ali Mfi ,L: Prepared by: I:F3NSACIIGN M isc. Receipt # 45763 Validation