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272194 (RPL)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY . COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE. '`, NO. ELECTRICAL FEES ST FL.. SQ.FT. @ UNITS 2ND FL. - SO. FT. @ POR. SO. FT. @ MOBILEHOME SVC. GAR. SQ. FT. @ POWER OUTLET CAR P. ISO.FT. @ ,,WALL SO. FT. @ j EST MATED CONSTRUCTION VALUATION $ {I�j NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP..000L ❑ HOOD SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINKt ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN' URINAL t, WATER PIPING ,l FLOOR DRAIN WATER SOFTENER WASHER (AUTO) IDISHI DST APPLIANCE JOB ADDRESS SP NO OWNER 74 r C?I '^R,r fiii [r ,d A � '. � r" -, ;� ' !' % I "1 - GARBAGE DISPOSAL .ht! i cl r . .i j• USE OF PERMI FURNACE ❑ UNIT ❑ WALL ❑ FLOOR- ❑ SUSPENDED F.C. DAT PE I O. 76 LAUNDRY TRAY M H PERMIT FEE AIR HANDLING UNIT CFM IDLE METER COMMUNITY KITCHEN SINK UNITS ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMSVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY [VALUATION HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ FT @ a BATH TUB MICROFILM FEE COPIES SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1¢ C, r SEWAGE DISPOSAL DBL $ SQ FT GARAGE @ 'h¢ LOT SIZE ZONE HOUSE SEWER USE NO. PERMIT FEE TYPE BY GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE <-.► Q(' IR IT O. 9 TOTAL FEE - MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMEE DBL. J F M A M J J A S O N D JOB ADDRESS SP NO OWNER 74 r C?I '^R,r fiii [r ,d A � '. � r" -, ;� ' !' % I "1 - .ht! i cl r . .i j• USE OF PERMI 75 F.C. DAT PE I O. 76 �' -� 272194 M H PERMIT FEE $ COMMUNITY /"DST UNITS ROOMS SUPP. TO PERMIT OFFICE [VALUATION MICROFILM FEE COPIES $ LEGAL DESCRIPTION d j_Y. FJ55,711 C, r MECHANICAL FEE DBL $ SEtTy BACK LOT SIZE ZONE USE NO. GRP TYPE BY ICK U /7 A PLAN CHECK FEE $ BOND AMT. Or PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR /6' 16-119 - 6 -q i b e -(EA CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL ED 0 {l 0 _ -; ELECTRICAL FEE DBL $ ADDRESS CITY STATE % STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONJ!�ACTOR ! ��✓ �` - " INSTRUMENTATION FEE / �a`!�-�� l +rf t ✓ .. $ ADDRESS ADDRESS r FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY / ZIP CODE TOTAL FEES TEL. NO. TEL. NO. LICENSE } % / CASH ❑ CHECK Q M.O. ❑ N.C. ❑ A,6THISPERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA N OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY ��� TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEMJ LLL T P !ti AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.