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58754 - Misc. Receipt (2)
Planning & ing Agency ASCELLANEOUS Building Safely Division 20 Civic Center Plaza RECEIPT P.O. Box 1988 (M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT ADDRESS: 1 4JOD V Vr' 1 1 SUITE # PAID BY: s.� -ed f �31r E �u� DATE: -/ _ ( 2— Bldg - Plan Check # 01116002 53600 $ 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 51602 $ Elect Permit - Trust/Special Inspection 01116002 51603 $ Mech Permit - Trust/Special Inspection 01116002 51604 $ Fire Trust 01116002 51601 $ Acc Bldg P/C # hrs. 01116002 57600 $ Acc Plmg P/C # hrs. 01116002 57600 $ Acc Elect P/C # hrs. 01116002 57600 $ Acc Mech P/C # hrs. 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 Si 09801001 24015 $ Q� SJPeIa R- &t-C-[TPt'A - A� V69-0 RAM /SIG $ IJ t41-P M ! T $ I.o r..f ti rPiGAra�b} CA �'[ o �. _ 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 Prepared by•<r, F{n/✓i jn V, L Misc. Receipt # 058784 _�_�aValidation