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176613 (SATT)FIELD OFFICE � PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM FAN ❑ EVAP. COOL kHOOD DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE 0 SIZE CONSTRUCTION ESTIMATE ELECTRICAL FEES Ist FI. 2nd Fl. Par. Gar. Car P. Wall yrs r ^t Sq. Ft. @ 'i — S Sq. Ft. @ FIXTURES Sq. Ft. @ GARBAGE DISPOSAL Sq. Ft. @ •� POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT SCLK.D/ Sq. Ft. @ l MOTOR H. P. f MOTOR H. P. ESTIMATED VALUATION is COMMUNITY DISTRICT MOTOR H. P. SUB -PANEL MECHANICAL FEES FIELD OFFICE � PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM FAN ❑ EVAP. COOL kHOOD ['�!/ SIZE MOTOR H. P. JOB ADDRES%,w- OWNER •� �L WASHER TAUT (DISH) I4'I APPLIANCE F S R FIXTURES fJ/ > % �jf GARBAGE DISPOSAL 4 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED S OF BUILDING DATE PLAN CHECK FEE $ OUTLETS s LAUNDRY TRAY AIR HANDLING UNIT CHECKED BY COMMUNITY DISTRICT I F.C. SUB -PANEL MECHANICAL FEE $ KITCHEN SINK GAS PIPE ❑NATURAL ❑ L.P.G. 13 OIL wr fff 01 ic GR P WATER CLOSET �© .x COMPRESSOR HP CONSTRUCTION FEE $& RANGE AND/OR OVEN LAVATORY Y A� APPLIANCE VENT _ SPEC. INSP. WATER HEATER SUPP. TO PERMIT SHOWER ��#'/� � ABSORPTION SYSTEM B.T.U. SPACE HEATER PLAN CHECKER BATH TUB JD� INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. FINAL DATE INSPECTOR CONSTRUCTION POLE WATER HEATERS��kJJiyy HEATING SYSTEM FORCED ❑ GRAVITY SERVICE ENTRANCE topio SEWAGE DISPOSAL � �j BOILER B.T.U. '� RESID. 1Q SO. FT. �S HOUSE SEWER �/ PERMIT FEE CASH CHECK M. o.N.C. RECEIVED BY GARAGE iQ SO. FT. 3 GAS PIPING rM' PERMIT FEE�� PERMIT FEE D J PE MIT NUMBER REN. DBL. TOTAL FEES MEAT IN VFs7 _FE pL4CKEEEE� 1CONot ST. FEE, ELEC. FEE PLUMB. FEE J P�jw� .7 f... .,,•" a J F I M I M SET BACKLOT SIZE USE it O JOB ADDRES%,w- OWNER •� �L F S R fJ/ > % �jf ZONE S OF BUILDING DATE PLAN CHECK FEE $ r✓ '� s // // % /' �1,,. A i7 V 1 V A 46:-'Ie.�...,. CHECKED BY COMMUNITY DISTRICT I F.C. UNITSVALUATION j OFF CE MECHANICAL FEE $ wr fff 01 ic GR P tYISE LEGAL DE ION PERMIT NUMBER CONSTRUCTION FEE $& _ SPEC. INSP. SUPP. TO PERMIT ELECTRICAL FEE $ ��#'/� � "�� � ��� �•.� %� 5 PLAN CHECKER BOND $ BOND CASH PLAN FILE # FINAL DATE INSPECTOR PLUMBING FEE $ I TOTAL FEES � �j '� BECME VOIDI WOK1 Rt �/ WITHIN 60EDAYS.SCESSAT ONOOF WORKHALL 0F FOR DAYOS SHAL�LE ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS CASH CHECK M. o.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 f T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALPFORNIA COVERING CON- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER OWNER CONTRACTOR BRANCH OFFICE i ADDRESS CITY 14�Dzo STATE ADDRESS ADDRESS r ' NO LENDER INVOLVED INFORMATION /��¢/� j`�%.1y a LLC VATION Of A44 f . -5{ .4 .4 13L= Ye '-4Z4wc S rA /__f1/ TEL. NO. TEL. NO. v ^ r y� �lr L 13 LICENSE NO. :84-208 12/BB rc Z / ,