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351295 (ELEC)BUILDING PERMIT 'Ask DEPARTMENT OF BUILDING & SAFETY rAMk FIELD OFFICE PERMITNO.Supp. 351295 PERMIT NO. 351295 Job Address / 8�so / 4 COUNTY OF RIVERSIDE Zip --- DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Date J % 61"bist. / 7— NO. PLUMBING FEES Off. 1ST FL. SQ. 2ND FL. POR. GAR. SQ. CAR P. SQ, WALL SQ. ESTIMATED CONSTRUCTION FT. Qa $ UNITS 'MH Permit Fee 8 Micro Film Fee Cop E SQ. FT. G YARD SPKLR SYSTEM Parcell No. SQ. FT. MOBILEHOME SVC. BAR SINK Ck.by FT. Qa POWER OUTLET ROOF DRAINS -.PI. Ck. Fee y FT. @ DRAINAGE PIPING Lot Size FT. DRINKING FOUNTAIN 'Construction Fee Dbl b SQ. FT. @ URINAL VALUATION $ WATER PIPING 11;?o NOTE: Not to be used as property tax valuation SWIM POOL, PVT Electrical Fee Dbl E S - IL FLOOR DRAIN Grp Type MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER 1 Plumbing Fee Dbl E VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN Plan Checker WASHER (AUTO) (DISH) Final Dote \ dG Insp or (hl�d APPLIANCE ❑ DRYER ' Sp. Insp. Fee E .Demol. Fee GARBAGE DISPOSAL Const. Lender Branch Address City I certify that in the performopce of the work f r which this not employ any person in any manner so as to a subject pensation laws of Cotifornio." Zip Owner Signature Builder Signature FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Regisw Fee $ Mileage Fee b LAUNDRY TRAY Reinsp. Fee bo AIR HANDLING UNIT CFM IDLE METER Tel. KITCHEN SINK Total Fees ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC ` �(jI �2 WATER CLOSET Zip M.O. ❑ N.0 Cash Che COMPRESSOR HP POLE, TEMP/PERM Contractor LAVATORY Tel. License q HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT LL P SHOWER City Zip Workers' omp. yes no ❑ BOILER B.T.U. SQ. FT. (g ¢ Sewer District Form 284-208 (Rev. 4.771 Os BATH TUB SQ. FT. Cai ¢ WATER HEATER SQ. FT. RESID Cai 11A SEWAGE DISPOSAL SQ. FT. GAR Ge '/.¢ HOUSE SEWER GAS PIPING 2 QU PERMIT FEE PERMIT FEE no.PERMIT FEE O6 DBL. I TOTAL FEES G O� l/' ]MOS.HM7FEEf MICRO FEE MECH. FEE PL. CK. FEE I CONST. FEE ELECT. FEE 'Soo SMI FEE FEE PLUMB. FEE �. Cj' -s PERMITNO.Supp. 351295 Permit Job Address / 8�so / 4 - Space e, clez Zip Owner 4OW/ 4 �G Communityj /� 4 / /�, 1/ I' t � A 74 4 V� Valuation y Date J % 61"bist. / 7— // Off. F.C. 'MH Permit Fee 8 Micro Film Fee Cop E Use of Permit �C Y_' 13 1,A -) T Q S/ (/ Parcell No. Use No. Ck.by Mech. Fee Doi b -.PI. Ck. Fee y Set Backs Lot Size 'Construction Fee Dbl b Legal Description O F� 11;?o S R 9D Electrical Fee Dbl E S - Zone Grp Type Unit SMI Fee E 1 Plumbing Fee Dbl E Bond Amt. g Pion No. Plan Checker Final Dote \ dG Insp or (hl�d ' Sp. Insp. Fee E .Demol. Fee E Const. Lender Branch Address City I certify that in the performopce of the work f r which this not employ any person in any manner so as to a subject pensation laws of Cotifornio." Zip Owner Signature Builder Signature permit is issued I shall to the workmen's com- Regisw Fee $ Mileage Fee b Witness Fee b Reinsp. Fee bo a^t s Tel. Zip Total Fees E Address�j / ? O %,S'� ` �(jI �2 City / Zip M.O. ❑ N.0 Cash Che Received by .tiro Contractor Tel. License q Trees required Sewage System T LL P Address City Zip Workers' omp. yes no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO E ER IT TO �,BECOME VOID. I HEREBY AGREE THAT ALL '79I� 165 PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY, MD 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. verified by: Sewer District Form 284-208 (Rev. 4.771 Os