HomeMy WebLinkAboutOC_357103 - MiscCOUNTY OF ORANGE ENVIRONMENTAL=MANAGEMENT AGENCY
CENTRAL OFFICE 'REGULATION REGIONAL OFFICE
P.O. BOX 4048 26052 GETTY DRIVE
400 CIVIC CENTER DRIVE WEST 'FEE RECEIPT FORM LAGUNA NIGUEL, CA 92677
' SANTA ANA, CA 92702 714-831-2610
714-834-2628
RECEIVED OF Service PLUMBING OF Orange Co. _. 898-8791
PAYER: TELEPHONE
ADDRESS:
7600 Industrial Way CITY Stanton 90680
JOB OWNER:
Irvine National Bank JOB ADDRESS :
1522 Placentia, N. Bch.
OR TRACT NO.
OWNER'S ADDRESS:
LOCAL PARK FEE REQUIRED FOR:
El SINGLE FAMILY DWELLING DUPLEX
EIMULTI-FAMILY DWELLING
UNITS WITH - BEDROOMS
ElMOBILEHOME PARK WITH - PADS (Sites)
CENSUS TRACT AP
LOCAL PARK FEES DETERMINED OR MODIFIED BY:
IUL 13`79
DATE
RECEIPT FOR
AMOUNT
0TRUST FUND
(Check No.)
El PLAN CHECK FEE
(Type)
FGRADING PRE -INSPECTION FEE
El LOCAL PARK FEE
ADDN: ALTERATION TO
356742
(TPERMI�
EOTHER _
El OTHER
Addn. Sewer
'REFERTO 86842
BUILDING }67F}yyZ}t VERIFIED
PERMIT km
(Number) (IniBels)
357,103 10.00+ 3
TELLER DATE INSPECTOR I FEE
0250-189.2(R 1/78)
10.00 *