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58772 - Misc. Receipt
Planning & B�iTrding 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 PROJECT AELDRESS: • MISCELLANEOUS RECEIPT SUITE # PAID BY: DATE: Bldg — Plan Check (11 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 Insp tion Pimg Permit — Trust/Special Inspec n Elect Permit — Trust/Special Inspectio Mech Permit — Trust/Special Inspection Fire Trust 01116002 51601 01116002 51602 $ 01116002 51603 $ 01116002 51604 $ 01116002 51601 $ Acc Bldg P/C # hrs. 01116002 57 0 $ Acc Pimg P/C # hrs. 01116002 600 $ Acc Elect P/C # hrs. 0111600 57600 $ Acc Mech P/C # hrs. \1011160 2 57600 $ Boarding Fee 1 1 002 53507 $ General Plan Surcharge 0 6002 51600 $ Statement of Fact/Record Search 111 0251601 $ SMIP - Category Val$ 08901 1 24000 $ Xerox Copy, Microfilm 0111600 57770 $ Residential Development Fee — specify Acct. No. 3002 7991 $ Temporary Certificate of Occupancy 01116002 5 01 $ 30 Day Temporary Fee — Gas 01116002 51 2 $ 30 Day Temporary Fee — Electrical 01116002 5160 $ Bond: Demo, 30-Day, Relocation, Sign 09801001 24015 $ $ ` TOTAL r $ 'N NOTICE: Applications for plan chg6jking submitted under Section 105.3.2 of the 201 California Building I Code will expire if no permits a issued within 180 days. \ ( Receipt Prepared by: Misc. Receipt # ff58772 Validation