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Planning & dWing Agency <br />Building Sa1W Division 66CELLANEOUS <br />20 Civic Center Plaza RECEIPT <br />P.O. Box 1988 (M-19) <br />Santa Ana, CA 92702 <br />(714) 647-5800 <br />www.santa-ana.org <br />PROJECT ADDRESS: �4-� �j{'� g- <br />SUITE # <br />PAID BY: i �� <br />_ _ _ DATE: <br />3�[a <br />Bldg - Plan Check # <br />01116002 53600 <br />$ <br />Plmg - Plan Check # <br />01116002 53602 <br />$ <br />Elect - Plan Check # <br />01116002 53601 <br />$ <br />Mech - Plan Check # <br />01116002 53603 <br />$ <br />Bldg Permit -- Inspection/Special Inspection <br />01116002 51601 <br />$ <br />Plmg Permit - Inspection/Special Inspection <br />01116002 51602 <br />$ <br />Elect Permit - Inspection/Special Inspection <br />01116002 51603 <br />$ <br />Mech Permit - Inspection/Special Inspection <br />01116002 51604 <br />$ <br />Acc Bldg P/C # hrs. <br />09801001-24045 <br />Acc Plmg P/C # hrs. <br />09801001-24045 <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 />12115002 53507 <br />$ <br />General Plan Update Surcharge <br />01116002 51600 <br />$ <br />Statement of Fact/Public Records Research <br />01116002 51601 <br />$ <br />Gm - - C-&14awy- Va I$- <br />0890100+24040,93 - <br />3 n e , PT <br />Building Standards Revolving Fund <br />011 <br />Copies/Microfilm <br />,. <br />01116002,57770829" <br />$'':''cat° <br />Residential Development Fee - Specify Acct. No. <br />30k- �b'f'n rr_ t <br />c� . <br />�Prn <br />Temporary Certificate of Occupancy <br />01116002 51601 <br />$ <br />30 Day Temporary Fee - Gas <br />011160Q2. 5_1.6Q nq <br />$ $444 , <br />30 Day Temporary Fee - Electrical <br />011160PV° 51603 `360!i($'J- <br />Bond: Demo, 30-Day, Relocation, Sign, Fireworks <br />1 <br />09801004 �404&**--**$1- -5 Authr:10-: 2-2 <br />Fireworks Stands Fee <br />01116002 51501 <br />$ <br />Fire Facilities Fee <br />12015002 53700 <br />$ <br />TOTAL <br />$ — <br />NOTICE: Applications for plan check submitted under Section <br />105.3.2 of the 2010 California Building Code will expire if no <br />permits are issued wi in I80 da s. <br />Receipt <br />Prepared by: ✓`c. <br />Misc. Receipt # 71205 <br />Validation <br />