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260559 (AR)BUILDING PERMIT JOB ADDRESSSJ / rt^�S_P No 3 /(.sc _ DEPARTMENT OF BUILDING & SAFETY GARBAGE DISPOSAL USE OF PERMIT � err/+ �� �/. oa< FURNACE ❑ UNIT ❑ WALL ❑FLOOR 0 SUSPENDED COUNTY OF RIVERSIDE LAUNDRY TRAY MH PERMIT FEE AIR HANDLING UNIT CFM CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES I ST FL. ABSORPTION SYSTEM SQ.FT. @ "" 3 97� -"--• UNITS 2ND FL. OFFICE SO. FT. @ HP POR.- 4-3 SQ. FT. @ "'' MOBILEHOME SVC. GAR SHOWER � AlI ! f r POWER OUTLET CAR P. SQ.FT. @ WALLSO. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax voluotion MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE JOB ADDRESSSJ / rt^�S_P No 3 /(.sc _ - OWNER L- s�{ 5 rwlz C FFi.,A rV i� - GARBAGE DISPOSAL USE OF PERMIT � err/+ �� �/. oa< FURNACE ❑ UNIT ❑ WALL ❑FLOOR 0 SUSPENDED DATE' %-�9-7s LAUNDRY TRAY MH PERMIT FEE AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK DST ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC r WATER CLOSET OFFICE COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER � AlI ! f r BOILER 0 B.T.U. SQ FT @ a BATH TUB $ y LEGAL DESCRIPTION SQ FT @ a • WATER HEATER Wil! pe -/ SQ FT RESID @ la SEWAGE DISPOSAL $ SETBACK SQ FT GARAGE @ lba HOUSESEWER USE NO. PERMIT FEE TYPE Ch BY .. I GAS PIPING , MOBILE HOME PERMIT FEE $ ) PERMIT FEE Q I PERMIT FEE dv PERMIT NO. 260559 TOTAL FEES G y�y MOB. HM.FEE . MICRO FEE MECH. FEE DBL. PL. CK. FEE �>° �>G7 CONST. FEE -?A t. DBL. ELECT. & — DBL. SMI FEE 310 FEE PLUMB. FEE a N JDBL. J I F I M A I M I J I J A I S 1 O 1 N I D 74 JOB ADDRESSSJ / rt^�S_P No 3 /(.sc _ - OWNER L- s�{ 5 rwlz C FFi.,A rV i� - 7S 76 USE OF PERMIT � err/+ �� �/. oa< F.C. DATE' %-�9-7s ERMIT NO. 2 6 0 5 5 9 MH PERMIT FEE $ COMMUNITY DST UNITS OOMS VALUATIO /N PP. TO PERMIT OFFICE � AlI ! f r MICROFILM FEE COPIES $ LEGAL DESCRIPTION Wil! pe -/ MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. TYPE Ch BY .. , i/ #?- ) JGRP F'30 S. / R J J� PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR CONSTRUCTION FEE DBL . $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER IJVOLV D /s h 6/ U /rte`.. ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR Off t INSTRUMENTATION FEE/� 13 FEE $ ADDRESS 44 �t�S ADDRESS ' i7tGN�Aib �/t/Ji. R PLUMBING FEE DBL $ CITY ZIP CODE l4 CITY ZIP CODE - 0 TOTAL FEE S $ , TEL. NO. _ TEL. NO. LICENS= CASH CHECK ❑ M.O. ❑ N.C. ❑ 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 DO -JE IN AC CORDANCE WITH -THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC RECEIVED BY . frtw�-� TREES REQUIRED SEWAGE SYSTEM ILL T P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I_ HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS 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.