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58823 - Misc. Receipt
Planning & Beg Agency Building Safety Division MISCELLANEOUS 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT ADDRESS: �Cj 1 �-A"¢ • # PAID BY: DATE: 67'Z12-- Bldg — Plan Check # j 01116002 53600 $ ZQ7. 25 Plmg — Plan Check # 01116002 53602 $ Elect — Plan Check # 01116002 53601 $ Mech — Plan Check # 01116002 53603 $ Fire — Plan Check # 01116002 53600 $ Bldg Permit — Trust/Special Inspection 01116002 51601 $ Plmg Permit — Trust/Special Inspection 01116002 5 602 $ Elect Permit — Trust/Special Inspection 011160 2 1 0 $ Mech Permit — Trust/Special Inspection 011160 2 51 04 $ Fire Trust 1116 251 01 $ Acc Bldg P/C # io r7 4.4 —74 hr 0 116 2 5 00 $ Z3b, a Acc Plmg P/C # hrAz-01116002 57600 $ Acc Elect P/C # hr 01116002 57600 $ Acc Mech P/C # hr 01116002 57600 $ Boarding Fee 12115002 53507 $ General Plan Surcharge 01116002 51600 $ Statement of Fact/Record Search 01116002 51601 $ SMIP - Category Val$ 08901001 24000 $ Xerox Copy, Microfilm 01116002 57770 $ Residential Development Fee — specify Acct. No. 3002 57991 $ Temporary Certificate of Occupancy 01116002 51601 $ 30 Day Temporary Fee — Gas 01116002 51602 $ 30 Day Temporary Fee — Electrical 01116002 51603 $ Bond: Demo, 30-Day, Relocation, Sign 09801001 24015 $ $ $ TOTAL $ �- NOTICE: Applications for plan checking submitted under Section 105.3.2 of the 2010 California Building Code will expire if no permits are issued within 180 days. Receipt Pre Misc. Receipt # fI 5 8 � 2 3 Validation