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20 Civic Center Plaza (M-19), Santa Ana, CA 92702 <br />lnspection Requests: (714\ 667-2738 Inspector Section: (714) 647-5853 <br />Electrical Permit #: 20164585 <br />Pin #: 94572 <br />City of Santa Ana <br />Permit Counter: (714) 647-5800 <br />Proj ect Address: 113'l W Santa Ana Blvd <br />Assessor'sParcel. 008-084-12 Lot: l2 <br />Unit: <br />Blockr B <br />Bldg: Address Range: <br />Tract; SHELTON & DEUEUlistoric: No <br />Suite Range: <br />Zoning: P <br />w <br />Owner: <br />Address: <br />Phone: <br />Tenant Name: <br />Contractor <br />Address: <br />Wajeeh Mughrabi <br />1139 W Santa Ana Blvd <br />Santa Ana, CA 927033832 <br />Owner-Builder <br />Fee Type <br />011 16002 51603 Serv Meter <br />01116002 51600 General Plan Update <br />011 16002 51603 lssuance <br />Amount <br />51 .29 <br />21 .25 <br />52.98 <br />Fee <br />$51.29 <br />$21 .25 <br />$52.98 <br />Qty <br />1.00 <br />1.00 <br />1.00 <br />Phone <br />r1 <br />Building LJse: <br />Job Type: <br />Nature of Work <br />Planning Approval By <br />Plan Checked By: <br />Permit lssued By: <br />Subject to Field: <br />Building Permit #: <br />Single Family Dwelling <br />Miscellaneous <br />Service meter upgrade <br />Occupancy: <br />Constr Type <br />Code: <br />Date: <br />Date: <br />Dale:Chavez. Oaue..-. a.11t13t2017 <br />Account# <br />Misc. Receipli <br />Misc. Receipt; <br />Misc. Receipt: <br />Total <br />$125.s2 <br />$0 00 <br />$12s.s2 <br />Every pormit tssued shall become invalid unless lho wo* on lho site <br />sulhorized by such pennit is confienced within 180 days aftot ils <br />issuance, ot if the wo* authorized on the sita by such petmit is suspended <br />or abandoned tor a penod ot 180 days aftet the tirne lhe wo* is <br />comrnenced <br />lnspector MID#: 20'17-'139858 <br />01 1 16002 51600 <br />0l 116002 51603 <br />$21 .25 <br />$104.27 <br />Fee Total: <br />Paid to Date: <br />Balance Due <br />State Lic #: <br />Lic Type: <br />Bus. Lic #: <br />Workers' Compensalion lnsurancel <br />Carrier: <br />Policy #: <br />Expires: <br />Plannang Conditions: <br />R.3, U <br />VB <br />cEc 2016 <br />Notes: Service meter upgrade. Handout given. <br />Owner-Builder form on file.