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PAT (280263)
BUILDING PERMIT DEPARTMENT OF BUILDING & WETY COUNTY OF RIVERSIDE " CONSTRUCTION ESTIMATE AIR HANDLING UNIT ' NO. -ELECTRICAL FEES 1 ST FL. 2ND FL. -POR. GAR. CAR P. WALL SOFT. @ ABSORPTION, SYSTEM UNITS, SO. FT: @ ` s WATER CLOSET SO. FT. @ �' "` �/`© MOBILEHOME SVC. SO. FT. @ POWER OUTLET SO.FI. @ SO. FT. - T.SO.'FT. AMPERES SERV ENT SHOWER SO .'FT.@ UNITS SO FT @ a ESTIMATED CONSTRUCTION VALUATION $-'- SUPP. TO PERMIT OFFICE NOTE: Not to be used os property tax voluotion,:; WATER HEATER SWIM POOL, PVT MECHANICAL FEES SOFT RESID @ 1 a SWIM POOL. COMM VENT SYSTEM O FAN Cl EVAP. COOL O HOOD SIGN HOUSE SEWER APPLIANCE MICROFILM FEE COPIES FIELD OFFICE DST NO. PLUMBING FEES 1� YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI (DISH) CARRACFTIISPnSAI FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O SUSPENDED Joe ADDResS SP NO r� J'4/1aAr,At?i LAUNDRY TRAY AIR HANDLING UNIT ' CFM IDLE METER KITCHEN SINK ABSORPTION, SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED O GRAVITY AMPERES SERV ENT SHOWER BOILER B.T.U. UNITS SO FT @ a BATH TUB SUPP. TO PERMIT OFFICE 5O FT @ ¢ WATER HEATER SOFT RESID @ 1 a SEWAGE DISPOSAL SO FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE MICROFILM FEE COPIES GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE PERMIT NO, 280263°� TOTAL F.WS MOB. HMSEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI5 �= FEE • PLUMB. FEE DBL. J F M A M J J A S O N D 74 Joe ADDResS SP NO r� J'4/1aAr,At?i JOWNLR L C,�'0it� 75 USE OF PERMIT F. C. DATE IN00263 76 fel?« l�x��v �t� r> :�� ee_ :-i6 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE B MICROFILM FEE COPIES $ LEGAL DESCRIPTION f > 7 P/I% " /:7_3 ' � moi. `i "�© ��.!' - /� til `./!r� ' F/, 9 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONEUSE NO. GRP TYPE ICK BY PLAN CHECK FEE $ BOND AMT. PLAN CHECKER FINAL DATE INTOR JPLANNO. CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADD ESS" "l% CITY STATE STRONG MOTION INSTRUMENTATION FEE $ �J OWNER/gGNT'S♦SIGNI�TI`l Frs�^""��'i, �J'✓^f �f CONTRACTOR S'�� QA/—Lu F FEES $ A�D,DRESS I y ADDRESS X PLUMBING FEE DBL $ CIrY ZIP CODE CITY ZIP CODE TOTAL FEES /� $ ! d �� TEL. NO. ' i rl TEL. NO. LICENSE 1 CASH O CHECK M.O. O N.C. O ; A, 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. I HEREBY 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 ALSC RECEIVED BY 1 �! TREES REQUIRED � ; SEWAGE SYSTEM T LL P AGREE TO CARRY'COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.