RPL (169629)DEPARTMENT OF BUILDING & SAFETY
mk COUNTY OF RIVERSIDE AN
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ESTIMATE AL A I K $
MECHANICAL FEES
VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD
APPLIANCE
y FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
Z AIR HANDLING UNIT
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J GAS PIPE ❑ NATURAL ❑ L.P.G. 13 OIL
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2 ABSORPTION SYSTEM
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U INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM.
HEATING SYSTEM ❑ FORCED ❑ GRAVITY
BOILER D B.T.U.
RESIDENTAL FEE SQ.FT.
PERMIT FEE
PERMIT NU
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A I M
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ELECTRICAL FEES
FIELD OFFICE �//
PLUMBING FEES
POLES
OVEN
USE a
LAVATORY
SIGNS
WATER HEATER
DRAINAGE PIPING
SHOWER
DRINKING FOUNTAIN
MOTOR
H. P.
USE OF BUI DING -
URINAL
MOTOR
N.P.
CONSTRUCTION
WATER PIPING '
MOTOR
H. P.
,�.
FLOOR DRAIN
MOTOR
H. P.
SEWAGE DISPOSAL
WATER SOFTENER
MOTOR
H.P.
FT.
WASHER (AUTO) (DISH)
FIXTURES
OFFICE
. V
GARBAGE DISPOSAL
OUTLETS
i9
LAUNDRY TRAY
SUB-PAREL
PERMIT FEE
r
KITCHEN SINK
PERMIT FEE
WATER CLOSET
t
RANGE AND/OR
OVEN
USE a
LAVATORY
JOB ADDRESS �j� � OWNER
�V
WATER HEATER
R
SHOWER
SPACE HEATER
USE OF BUI DING -
BATH TUB
CONSTRUCTION
POLE
WATER HEATER
,�.
.,
SERVICE ENTRANCE
0 -
SEWAGE DISPOSAL
CME KED BY
RESID. 1C SO.
FT.
UNITS
HOUSE SE&ZP
OFFICE
/�/�
4w
GARAGE iQ SQ.
FT.
GAS PIPING
PERMIT FEE
MECHANICAL FEE
r
PERMIT FEE
AFEEPLN.
4CK.EES
CONST.
'FE EELEC.
FEE
PLUMB.
FEEJ
169629
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SET BACK
LOT SJZE
USE a
JOB ADDRESS �j� � OWNER
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ZONE
USE OF BUI DING -
DATE
PLAN CHECK FEE
,�.
! .-
0 -
CME KED BY
C MMUN TY
STRICT F.C.
UNITS
VALUATION
OFFICE
1,1
MECHANICAL FEE
R#4fU P
TYPE
LEGAL LfESCRIPTION
-
169629
PERMIT NUMBER
CONSTRUCTION FEE Qr
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ELECTRICAL FEE
SPEC.
INSP.
SUPP. TO PERMIT
PLAN CHECKER
BON $ BOND CASH PLAN FILE Y FINAL)DA�TE
INSPECTOR
I�i✓/' 9L �/•
PLUMBING FEE
/O
TOTAL FEES
THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH I CHECK ,. M.O. 'N. C.
eECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
I
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 -
INFORMATION
TRACTORS IS ALSO GUARANTEED.
Ippe of l"xider:
OWNER Y'CON
TR AC TOR
"A'xtrwt*`OA
t
Dez rAh Oft lee
ADDRESS
ADDRESS �
Cl t
Xo 1*sdor !arab
TEL. NO.
TEL. NO.
284-208 11/87
LICENSE NO.
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