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272737 (SFD)APPLIANCE PF^ -1 j? FIELD OFFICE , OWNER ,�1��r��r rO,. =. BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY GARBAGE DISPOSAL F.C. j COUNTY OF RIVERSIDE FURNACE O UNIT O WALL O FLOOR O SUSPENDED 76 Y �E II LAUNDRY TRAY 1 1 M H PERMIT FEE AIR HANDLING UNIT CFM CONSTRUCTION -ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES if KITCHEN SINK 1 ST FL. V,;2 0 SQ.FT. @ i _'++ -ir Alb UNITS ABSORPTION SYSTEM B.T.U. VALUATION 2ND FL. SO. FT. @ YARD SPKLR SYSTEM WATER CLOSET POR. SO. FT. @ MOBILEHOME SVC. BAR SINK ' (} GAR. [/� SO. FT. _ @ 3,U ` POWER OUTLET ROOF DRAINS LAVATORY -CAR P. SO.FT. @ DRAINAGE PIPING HEATING SYSTEM -2k FORCED , O GRAVITY WALL SO. FT. @ DRINKING FOUNTAIN SHOWER SQ. FT. @ URINAL BOILER � B.T.U. ESTIMATED CONSTRUCTION VALUATION $ S�r y `�j �'j ��- WATER PIPING a NOTE: Not to be used as property tox voluotion SWIM POOL, PVT FLOOR DRAIN iCJ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER SQ FT @ ¢ VENT SYSTEM L7f FAN ❑ EVAP. COOL A HOOD fO I I SIGN { WASHER IAUT041SHI L„T f)L) APPLIANCE PF^ -1 j? , $ �Ci OWNER ,�1��r��r rO,. 75 GARBAGE DISPOSAL F.C. DAT �/ FURNACE O UNIT O WALL O FLOOR O SUSPENDED 76 Y �E II LAUNDRY TRAY 1 1 M H PERMIT FEE AIR HANDLING UNIT CFM $ IDLE METER COMMUNITY KITCHEN SINK ')C ABSORPTION SYSTEM B.T.U. VALUATION TEMP USE PERM SVC OFFICE WATER CLOSET fn OQ COMPRESSOR HP ' (} POLE, TEMP/PERM 'Y LAVATORY CiC HEATING SYSTEM -2k FORCED , O GRAVITY AMPERES SERV ENT r SHOWER $ BOILER � B.T.U. SQ FT @ a BATH TUB iCJ MECHANICAL FEE DBL SQ FT @ ¢ WATER HEATER ) NO. 19 14) SQ FT RESID @j yg � tf ; 1 SEWAGE DISPOSAL f} O G 1•) it U -SQ FT GARAGE @ ;/ia 3G HOUSE SEWER l PERMIT FEE j P7 F �_ Jr' S 0'" r R j -,R PLAN CHECK FEE GAS PIPING $ MOBILE HOME PERMIT FEE $ BOND AMT. I PLAN NO. / PERMIT FEE '41 U PERMIT FEE R?�IT 2 L 3 TOTAL FEES r , %L j1 -- MOB. HM.FEE MICRO FEE lr� �c� ! MECH. FEE . u d':� DBL. PL. CK. FEE fid CONST. FEE r rx� DBL. ELECT. FEE s7 DBL. SMI FEE �-- FEE PLUMB. FEE DBL. J F M A M J• 1 A $ Q N D 74 .JOB ADDRESS SP NO 7�/��) Lel/�uJz •L,/U) OWNER ,�1��r��r rO,. 75 F PERMIT el 11 USDol9 671 R, F.C. DAT �/ PELI OL. 76 Y �E II Ys• 1 1 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE v "J 7"A 0c Z MICROFILM FEE COPIES $ LEGAL DESCRIPTION 0 67 MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY l �. 'V/F. t F �_ Jr' S 0'" r R j -,R PLAN CHECK FEE $ BOND AMT. I PLAN NO. PLAN CHECKER FINAL DATE JINSPECTOR —7 6 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED } ELECTRICAL FEE DBL $ ADDRESS CITY STATE 19 '36 STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR * �+ INSTRUMENTATION FEE FEE $ ADDRESS D• -13o ADDRESS PLUMBING FEE DBL $ _ CITY ZIP CODE A h CITY// / ZIP CODE Cat v / A I i SI TOTAL FEES $ TEL. NO. 1 ?`1Gr y_ rl jC%�i TEL. NO. LICENSE CASH ❑ CHECK 2f, M.O. O N.C. O,a1L f) THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA i 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.DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, 'I ALSC EMPLOYEES. COMPLIANCE WITH THI RECEIVED BY TREES REQUIRED " SEWAGE SYSTEM f �2Lk t/� K T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY I A A/C (1C TUC CTATCl C! Al IC —IIA l-!1\/CDIAI/"'r- KlTDA=- DC IC Al Cl f lIADAI.ITCCn I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE 1 OF THE STATE OF CALIFORNIA.