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AR (242699)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY (^ COUNTY OF RIVERSIDE ► NO. ELECTRICAL FEES UNITS, MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO. PLUMBING FEES BOILER B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST CONSTRUCTION ESTIMATE C a' 1 ST FL. " SQ.FT. @/7 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SOFT. @ ' WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $p NOTE: Not to be used os property tox voluation - " MECHANICAL FEES DEPARTMENT OF BUILDING & SAFETY (^ COUNTY OF RIVERSIDE ► NO. ELECTRICAL FEES UNITS, MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM FIELD OFFICE NO. PLUMBING FEES BOILER B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER DST Y9 VENT SYSTE&A JXFAN ❑ EVAP. COOL ❑ HOOD Al 901 SIGN WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM • LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ la f SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSESEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE' Is ! PERMIT FEE PERMIT FEE Q Q PERMIT NO. TOTAL FEES JMOB.HM.FEEJ::::��MECH. Of we FEE T+U DBL. Pl. CK. FEE �yQ+J CONST. FEE DBL. ELECT. FE DBL: SMI FEE fEE PLUMB. FEE DBL. 1.-- - F .1 M A I M' I ) - J- A I S 1.0- I'll! -. D JOB ADDRESS- - SP NO � _ r l/A�7 tv� / f 01 Ze,,% I - OWj�NER----^ -� ��d�- /7 � /Y /1 r_ 73 74 USE OF PERMIT - F.C. DATE M H PERMIT FEE $ COMMUNITY 14 DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACKy, LOT SIZE ZONE ~ / USE NO. GRP TYPE CK BY F � S J fJ R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTO } CONSTRUCTION FEE DBL.$ t /.> 4 / - NAME OF CONST. LENDER BRANCH OFFICE r NO LENDER INVOLVED ELECTRICAL FEE DBL $ gs ADDRESS CITY STATE SMI FEE $ / THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. THEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE.TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS 1S ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. FEE $ PLUMBING FEE DBL 1$. �) TOTAL FEES ! J t1� OWNER/AGENTS SIG ATURE �l j�fJ p CONTRACTOR CASH '' CHECK Cl M.O. ❑ N.C. ❑ ADDRESS IVY— � 14 A""io14�G> ADDRESS r RECEIVED BY4fe TREES REQUIRED R SEWAGE SYSTEM- CITY ZIP CODE A a,14 CITY ZIPCODE ' ^ INFORMATION FORM 284-208 (Rev. 973)' ©s TEL. NO. . ., TEL. NO. LICENSE Y9