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58761 - Misc. Receipt
& i1ing Agency Building Safety Division 20 Civic Center Plaza DPlanning P.O. Box 1988(M-19) Santa Ana, CA 92702 (714) 647-5800 www.santa-ana.org PROJECT M•CELLANEOUS RECEIPT SUITE # PAID BY: xc� i V DATE: 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 Tempora Fee — Electrical 01116002 51603 $ d Bond: Dem 0-D elocation, Sign 09801001 24015 $ /00 0 /VC-DC—V6 K46�/- $ 3 0 AllejjlAV6- $ COS /74 Al Efa C-4 ' jI Q2L 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 da s. Receipt Prepared by: Yr) G '-&�! Z— Misc. Receipt # () 5 8 7 61 �� �`6 Validation W P51 i Fees 2011-2012/Misc Receipts/9-20-2011