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348851 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Ar/ FIELD OFFICE. PERMITNO. 3488513 PERM IT NO. 348851 Job Address - - a-,�o COUNTY OF RIVERSIDE Space Zip �S Owner 'k ,� DST ,� CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES - Dist. 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. Q $ UNITS MH Permit Fee $ Micro Film Fee Cop $ SQ. FT. ®. YARD SPKLR SYSTEM Use of Permit � LG � G%+�^ SQ. FT. (a3 MOBILEHOME SVC. BAR SINK Parcel No. 273 -=?/3'- SQ. FT. ® POWER OUTLET ROOF DRAINS Mech. Fee �y $ SQ. FT. @ DRAINAGE PIPING Set Backs SQ. FT. 8 DRINKING FOUNTAIN I.unstruction Fee j_ rM $ ' SQ. FT. ® URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT flectricol Fee %L iJb1 $ FLOOR DRAIN GrP Type MECHANICAL FEES SWIM POOL, COMM SMI Fee $ WATER SOFTENER VZ $ /'� VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plan Checker WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER aemol. Fee $ GARBAGE DISPOSAL Const. Lender Address Branch 'I certify that in the performopce of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's com• - pensotion lows of. California." Ci " j Zip - Owner Signature Builder Signature FURNACE. ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Mileage Fee $ Witness Fee $ • LAUNDRY TRAY $ AIR HANDLING UNIT CFM IDLE METER Tel. Zip _ fotol Fees $ 9 '� Address , City Zip M.O. ❑ N.C. ❑ Cosh ❑ Ch :� Received by Contractor Tel. License d frees required 6ewoge System �O K Address - City Zip Workers' Comp. yes ❑ no ❑ m District Form 284-2081Rev.4.77) ©i THIS PERMIT. SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS, CESSATION OF verified by: WORK FOR 120 DAYS SHALL A ERMIT O BECOME VOID. I HEREBY AGREE THAT AL N WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY A THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.