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BLCK (188250)FIELD OFFICE' PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD MOTOR M.P.. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Por. Gar. Car P. Wall OUTLETS Sq. Ft. @ AIR HANDLING UNIT NO. Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATER CLOSET Sq. Ft. @ _ POLES Sq. Ft. @ SIGNS Sq. Ft. @ ,o 61A TRANS. AND/ Sq. Fr. @ MOTOR H. P. BATH TUB - MOTOR H.P. ESTIMATED VALUATION Is WATER HEATER MOTOR H. P. SERVICE ENTRANCE MECHANICAL FEES Mnrna o FIELD OFFICE' PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP, COOL ❑ HOOD MOTOR M.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 WATER CLOSET COMPRESSOR OHP RANGE AND/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 B.T.U. RESID. 14t SO. FT. HOUSE SEWER PERMIT FEE GARAGE iQ SO. FT. GAS PIPING MECHANICAL FEE $ PERMIT FEE PERMIT FEE PER NUT REN. DBL. TOTAL FEES I HEAT & VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FE FM- ,_--. A_ _ -. M I _ J _ J A .S F i"M I A IM J_ J A S SET BACK LOT SIZE USE # JOB ADDRESS OWNER F 5 R ns - /r" ? Al —AX"; J" ZONE USE OIF B1jLjVING ( DATE/y PLAN CHECK FEE $ ( _�. / �,/ , e.4- /1 CHECKED BY C MMUNITY > © DISTRICT F.C. UNITS VALUATION 4v OFFICE MECHANICAL FEE $ r+�'r (�� GROU TYPE LEGAL DESCRIPTION PERMIT NUMBER CONSTRUCTION FEE $ ,�"'...%,�. .,%L'J 188250 SPEC. INSP. SUPP. TO PERMIT ELECTRICAL FEE $ , PLAN CHECKER BOND $ BOND CASH PLAN FILE # FINAL DATE INS PLUMBING FEE $ I TOTAL FEES o.- 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 C H I- CIK�•j M.O. I 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 _ � ��. A6rlJ'raG•GX. i T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER BRANCH OFFICE OWNER /141A, %�%4 •7 i' /. CONTRACTOR .••- 7�.` J" ? �•! ,,..,<,,,,� _ ADDRESS - ADDRESS ° ADORES' CITY STATE VS _ �� ��j ;�'-'..^"•� NO LENDER INVOLVED .✓^ INFORMATION TEL. NO. TEL Z10. �a LICENSE NO. r•_ 284-208 12/88 -