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351208 (ELEC)e, BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Agak FIELD OFFICE PERMITNO. 3 512 0 8 PERMIT NO. 351208 Job Address -2---78s��e iytae COUNTY OF RIVERSIDE S Owner DST rCONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date �J NO. PLUMBING FEES Off. F.C. 1ST FL. SQ. 2ND FL. FOR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q $ UNITS Micro Film Fee Cop $ SQ. FT. (a3 YARD SPKLR SYSTEM SQ. FT. ® MOBILEHOME SVC. BAR SINK Use No. Ck. by FT. (03 POWER OUTLET. ROOF DRAINS Ck. Fee $ SQ. FT. @ DRAINAGE PIPING Lot Size DRINKING FOUNTAIN SQ. FT. •Q Legal Description / fj l!'{J 7r–�(� A/0 A —3 SQ. FT. ® URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, :PVT Zone FLOOR DRAIN Type Unit MECHANICAL FEES SWIM POOL, COMM Dbl $ WATER SOFTENER Bond Amt. $ Plan No. VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN �- hO�.., /1 Insp WASHER (AUTO) I DISH) , Sp. Insp. Fee $ APPLIANCE ❑ DRYER $ GARBAGE DISPOSAL "I certify that to the performance of work for which this permit is issued I shoR not employ any person in any monner s&iSs to become subject to the workmen's com- pensation laws of California." Zip Owner Signature . Builder Signoture Regisir. Fee $ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED �a c, Reinsp. Fee LAUNDRY TRAY Owner/Agent AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC City - Zip WATER CLOSET Received by COMPRESSOR HP POLE, TEMP/PERM LAVATORY license # 32,071-0? G7Wo71-0 Trees required HEATINGSYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER City Zip BOILER B.T.U. SQ. FT. Cat ¢ BATH TUB SQ. FT. C9 ¢ WATER HEATER SQ. FT. RESID Ga 1 t/.¢ SEWAGE DISPOSAL SQ. FT. GAR @ 1/.¢ HOUSE SEWER GAS PIPING PERMIT FEE== PERMIT FEE E] 1 _ 1 4:110 PERMIT FEE' DBL. TOTAL FEES MOB. HM. FEE MICRO FEE -/ MECH. FEE PL. CK.. FEE CONST. FEE ELECT. FEE oleo 5MI F.EE FEE PLUMB. FEE PERMITNO. 3 512 0 8 Supp. Perm S Job Address -2---78s��e iytae SpaceZip u 9`zzS Owner Community �. A /il �o(,r/j� Valuation $ Date �J Dist. Off. F.C. MH Permit Fee $ Micro Film Fee Cop $ Use of Permit - /+sssPI. &1eGrp N� ��C.. i Parcel No. Use No. Ck. by Mech. Fee Dbl $ Ck. Fee $ Set Backs - Lot Size Construction Fee - Dbl 09 9 Legal Description / fj l!'{J 7r–�(� A/0 A —3 Electrical Fee Obi $/� SMI Fee $ �+ Zone Grp Type Unit Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker w �- hO�.., /1 Insp or , Sp. Insp. Fee $ Dental. Fee $ Const. Lender _ Branch • Address City "I certify that to the performance of work for which this permit is issued I shoR not employ any person in any monner s&iSs to become subject to the workmen's com- pensation laws of California." Zip Owner Signature . Builder Signoture Regisir. Fee $ Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees Addr t City - Zip M.O. ❑ N.C. ❑ Cosh ❑ Chec 0:4$ Received by Contra`eror e0tloe QN$ _ Tel. .�ry ` G�!l+�/7 license # 32,071-0? G7Wo71-0 Trees required Sewage System Address 'y f` City Zip Workers'Comp. yes ❑ no ❑ LL P Sewer District Form 284.208 (Rev. 4.77) ©s IHIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verified by: ,WORK FOR 120 DAYS SHALL ALWUSEP5PIMIT.1Q BECOME VOID. I HEREBY AGREE THAT ALLKH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AN THE STATEOF CALIFORNIA. HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE 50 I N .ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.