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160353 (BLCK)
DEPARTMENT OF BUILDING & SAFETY mliiiI COUNTY OF RIVERSIDE AM FIELD OFFICE CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1st FI. 2nd FI. Par. FGar. Car P. I Wall Sq. Ft. @ NO. PLN. CK. FEE J NO. Sq. Ft. @ PLUMB. FEE Sq. Ft. @ Sq. Ft. @ POLES Sq. Ft. @ SIGNS DRAINAGE PIPING Sq. Ft. @ TRANS. AND/ OR T. CLK. DRINKING FOUNTAIN Sq. Ft. @ MOTORN.P. URINAL MOTOR H. P. WATER PIPING EESTIMATED VALUATION Is MOTOR H. P. FLOOR DRAIN i MECHANICAL FEES MOTOR H. P. WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL 13 HOOD MOTOR N.P. WASHER (AUTO) DISH) APPLIANCE FIXTURES /NII. GARBAGE DISPOSAL k{ } FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS U5E O BUILDING LAUNDRY TRAY I J t 2 AIR HANDLING UNIT SUB-PAMEL KITCHEN SINK f O f J GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CHECKED By COMMUNITY �` WATER CLOSET II Q U COMPRESSOR OHP RANGE AND/OR OVEN VALU{A/TI/OniN LAVATORY 1 r W APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM B.T.U. SPACE HEATER BATH TUB i O U INCINERATOR DOMESTIC 11INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER E=� B.T.U. RESID. 14 SO. FT. I TYPE HOUSE SEWER RESMENTAL FEE SO.FT.�@ GARAGE zQ SO. FT, CONSTRUCTION FEE J�J GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE 'PERMIT NU E REN. DBL. J TOL HEAT & VENT FEE PLN. CK. FEE COC/© J ELEC, FEE PLUMB. FEE J FM A M J J A S J _ F M A J J A 5 O N D 0 N D SET BACK LOT SIZE USE 11 JOB A/D�DRESS �-t�I jA �/7 J�VIT OWNER Jac J(f F 5 R /NII. (�r I� ZONE U5E O BUILDING DATE PLAN CHECK FEE /?-'/ •`' CHECKED By COMMUNITY �` DISTRICT F.C. UNITS VALU{A/TI/OniN OFFICE MECHANICAL FEE CritJ. jj GROUP I TYPE LEGAL &ErCRIPTION 16 PERMIT0NU ER 33 CONSTRUCTION FEE J�J a'r- „ >� r�- SPEC. INSP. SUPP. TO PERMIT 7G' s �p�' j� j ELECTRICAL FEE hA1 f%�,(`/', eft/11.' l3f' El NJC PLAN CHECKER BOND $ BOND CASH PLAN FILE ft FINAL DATE INSPECTOR PLUMBING FEE I ,S ^� 7-C,.,, TOTAL FEES $ 5 -THIS r 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 CHECK 67 1 N. C. I RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- TP SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO T LL CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - INFORMATION TRACTORS IS ALSO GUARANTEED. OWNER a C ACTOR ,7 ADDRESS ADDRESS i J TEL. NO. TEL. NO. rr LICENSE NO. 284-208 11/87