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176749 (AR)NO. FIELD OFFICE: PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd F1. Par. Gar. Car P. Wall G Sq. Ft. @ °2f�' NO. Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATERCLOSET Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT SCLK�/ Sq. Ft. @ MOTOR H. P. BATH TUB MOTOR H. P. ESTIMATED VALUATION is WATER HEATER ' �. rI MOTOR H. P. SERVICE ENTRANCE MECHANICAL FEES MOTOR H.P. NO. FIELD OFFICE: PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY . AIR HANDLING UNIT - SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATERCLOSET COMPRESSOR OHP RANGE.ANO/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ' ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑COMM.. CONSTRUCTION POLE WATER HEATER ' HEATING SYSTEM ❑ FORCED ❑GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER L-B.T.U. �' :RESID. 1; 50. FT. { I HOUSE SEWER PERMIT FEE GARAGE ?Q SO. FT. GAS PIPING - J�,�,L �• �� PERMIT FEE PERMIT FEE �` PERMIT NUMBER REN. DBL. -TOTAL FEDS I HEAT & VENT FEE PLN. CK. FEE 1749 CONST. FEE I ELEC. FE? PLUMB: FEE SET BACK USE #. JOB ADDRESS OWNER f /j '^a• �E% �/ aza tLOT-SIZE t::/�C ..- !i/'If I_ I�:1 1Z -....r/� ZONE ,.I USE OFF UUj LDING - - DATE PLAN CHECK FEE $ �• �rBB '(i(T �4.("70 CHECKED BY COMMUNITY UNITS VALUATION OFFICE MECHANICAL FEE $ J�,�,L �• �� i 1j f jD1.STRrCT'j'I`.Cy — O 4%�� . GROUP TYPE LEGALDESCRIPTION— PERMIT NUMBER CONSTRUCTION FEE $ rl 16 w SPEC. INSP. SUPP. TO PERMIT 9g ELECTRICAL FEE $ [, - :.3-r4--fi' o1 J ' - PLAN CHECKER BOND $ BOND CASH PLAN 'FILE V DATE INSPECTOR I I 2FINAL �/- PLUMBING FEE $ " �F u,Q TOTAL FEES THIS PERMIT S 1 E 81201 WITHIN 0 DAYS. CESSAT CESSATION WORK FAR DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS ' CASH CHECK .n•1.0. N.C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- ' SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- TRACTORS IS ALSO�GUA ANTEED. 1 NAME OF CONSTRUCTION LENDER 33• ,� OWNER e 1+ 7 �" - CONTRACTOR BRANCH OFFICE xer f ADDRESS . ADDRESS' ADDRESS y CITY STATE NO LENDER INVOLVED INFORMATION— - TEL. NO. '.✓ TEL. NO. ^ Q!� LICENSE NO. 284-208 12/68vI (7J�