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215622 (SPIN)
BUILDING PERMIT SIGN WASHER (AUTO) (DISH) DEPARTMENT OF BUILDING & SAFET COUNTY OF RIVERSIDE TRANSFORMER [�K•W• FIELD OFFICE CONSTRUCTION ESTIMATE ELECTRICAL FEES LAUNDRY TRAY PLUMBING FEES w 1ST FL. 2ND FL. POR. GAR. CAR P. WALL KITCHEN SINK SQ. FT. @ CONST. SERV. ENTRANCE NO. COMPRESSOR HP NO. SQ. FT. @ APPLIANCE VENT SQ. FT. @ MOTOR 1 OR LESS H.P. SHOWER SQ. FT. @ MOTOR 5 OR LESS H.P. SQ. FT.@ Q SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION Is HOUSE SEWER PERMIT FEE. BALANCE OF MIN. FEE FLOOR DRAIN MECHANICAL FEES MOBILEHOMELEGAL $ IWATFR SOFTFNFR VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER [�K•W• GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNITI CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM B.T.U. SQ. FT.@ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑INDUS. OR COMM. SQ. FT.@ It WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SQ. FT. RESID. @ 1 ¢ SEWAGE DISPOSAL BOILER O B.T.U. SQ. FT. GAR AGE @ i ¢ HOUSE SEWER PERMIT FEE. BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ I I I I IPERMIT FEE I I I I PERMIT FEE I I PERMIT NUMBER TOTAL FEES, MOB. HOOT( FEE HEAT fi VENT FEE PL. CK. FEE CONST. FEE DBL ELEC. FEE DBL FEE PLUMBING FEE DBL IDBLI�, .. J F M A M J J A S O N D JOB ADDRESS �r �y _7k© 1 o OWNER �a, � 72 13 C/ ,�,- . c- � — t►� �� 73 USE OF BUILDING•, �-�z ��-- F.C. DATE 72.- PERMIT NO. 21562 2 74 75 COMMUNITY DST I UNITS OOM VALUATION SUPP. TO PERMIT I OFF E 76 MOBILEHOMELEGAL $ DESCRIPTION C/ 7 HOOKUP FEE f}% 7`j2 / MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONEUSE NO. GRP TYPE F S R JCKBY �- If PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE' INSPEC :1_ OR /C AU DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL ED CONSTRUCTION FEE DBL ADDRESS CITY STATE ELECTRICAL FEE $ $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. /'�,�/ V661A FEE CESSATIONIHEREBY WORK FOR IAOLLDWORKAYS FIN ALSO CAUSE PERIT TO BECOME OBE THIS c,✓�• THATPERMIT WILLALL CONNECTION WITH DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - DBL PLUMBING FEE ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFI- CATIONS HAS DONE SO IN ACCORDANCE WITH SECT _ 0 �E BL (NESS AND TOTAL FEES $ j '1 > VV PROFESSIONS CODE OF THE STATE OF CALIFORNIA. 3�—� CASH F-1 CHECKN6 M. N.C. OWNER CONTRACTORM / Received By ADDRESS ADDRESS /r -73 A-) / Sewage System T LL P Trees Required. Yes No INFORMATION TEL. NO. TEL. NO. LICENSE FORM 284-208 (REV. 4/71) &,_-