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Planning & ftding Agency <br />Building Saf1W Division <br />20 Civic Center Plaza <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: <br />PAID BY: <br />Bldg — <br />Plan Check # <br />Plmg <br />— Plan Check # <br />Elect <br />— Plan Check # <br />Mech <br />— Plan Check # <br />r. <br />ACELLANEOUS <br />RECEIPT <br />SUITE # <br />01116002 53600 $ <br />01116002 53602 $ <br />01116002 53601 $ <br />01116002 53603 $ <br />Bldg Permit — Inspection/Special Inspection <br />01116002 <br />51601 <br />$ <br />Plmg Permit — Inspection/Special Inspection <br />01116002 <br />51602 <br />$ <br />Elect Permit — Inspection/Special Inspection <br />01116002 <br />51603 <br />$ <br />Mech Permit — Inspection/Special Inspection <br />01116002 <br />51604 <br />$ <br />hrs. <br />09801001-24045 <br />$ <br />Acc Plmg P/C # hrs. <br />- <br />$ --� <br />Acc Elect P/C # hrs. <br />09801001-24045 <br />$ <br />Acc Mech P/C # hrs. <br />09801001-24045 <br />$ <br />Boarding Fee (Community Preservation) <br />General Plan Update Surcharge <br />Statement of Fact/Public Records Research <br />SMIP - Category Val$ <br />-&u4dWing iandards Revolving Fund <br />Copies/Microfilm <br />Residential Development Fee — Specify Acct. No. <br />Temporary Certificate of Occupancy <br />30 Day Temporary Fee — Gas <br />30 Day Temporary Fee — Electrical <br />Bond: Demo, 30-Day, Relocatio Zqireworks <br />Fireworks Stands Fee <br />Fire Facilities Fee <br />S 1 _ � (11(-' E= <br />NOTICE: Applications for plan check submitted under Section <br />10&3.2 of the 2010 California Building Code will expire if no <br />permits are issued within 180 days. <br />Receipt <br />PreDared b <br />12115002 53507 $ <br />01116002 51600 $ <br />01116002 51601 $ <br />089010012400015 - r$16/?"'P T11: <br />01116002,51612'H 1$insTT�bi <br />:1. <br />3002':57991'n TatQ��� <br />01116002 51601 {$� <br />011160OZ 51602 -30-A, <br />01116002 51603A636t1$1- <br />01116002 51501 $ <br />22015002 53700 $ <br />$ <br />TOTAL <br />Misc. Receipt # 71235 U Validation <br />