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58777 - Misc. Receipt
1 Planning & Oing 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 9 MISCELLANEOUS RECEIPT PROJECT ADDRESS: `�'[�'� ti�] PAID BY: �� 1; _ [71 ► Y1 U �EQ 10 QMC�C,i��ITF # c DATE: L�[.-1�--� nn ` Bldg - Plan Check # IC j r]t_.# 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, Sign 09801001 24015 $ TOTAL NOTICE: Applications forplan 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: Misc. Receipt # 058777 Validation $ - so -ht:IILry'� 14I1.L au• �u� Lri f ire: r Uri s': ;" Acct:: [�fef T: R-;, tom; CO,", 4i_,ci 2/14/2012 11:4 TransaCtlul: Cotal $4110.1 AZENINA FAVRFI it l3wildins r.11116iui; - `3601JQLIO- Credit Card Fee LiII10002 c3gl'EiiiiiiLi- Vi=ai� �r�►rxx#:�rrr�r34 Ci Aut 1: _. ,aA xP Date: I�il::