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180975 (CONR)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE 0 LOT SIZE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Por. Gar. Car P. Wall i APPLIANCE Sq. Ft. @ -*,/- ND. Sq. Ft. @ Sq. Ft. @ t Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ TRANS. AND/ OR T. LK. E Sq. Ft. @ MOTOR H. P. MOTOR H. P. ESTIMATED VALUATION Is IcOdK4L1biIyy MOTOR H. P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL MECHANICAL FEES MOTOR H. P. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. LOT SIZE WASHER (AUTO) (DISH) JOB ADDRESS OWNER .i APPLIANCE FIXTURES F� 5 U GARBAGE DISPOSAL 17 FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS ' O LAUNDRY TRAY PLAN CHECK FEE $ AIR HANOLING UNIT SUB -PANEL KITCHEN SINK ' IcOdK4L1biIyy DISTRICTF.C. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL UNITS VALUATION OFFICE WATER CLOSET COMPRESSOR OHP RANGE AND/OR OVEN / LAVATORY 3 V' APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM O B.T.U. SPACE HEATER LEGAL D SCRIPTION BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER , HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL -y BOILER B.T.V. Rg.-a.D. IC SQ. FT. Y HOUSE SEWER PERMIT FEE GARAGE zQ SO. FT. SUPP. TO PERMIT GAS PIPING PERMIT FEE ELECTRICAL FEE $ w� PERMIT FEE. rJ 1i PERMIT NUMBER REN. DBL. TOTAL FEES MEAT tk VENT FEE PLN. CK. FEE CONST, F ELEC. FEE IPLUMB. FEE J J F M A M J J A S O N D f J F l e I I. I S -� SET BACK LOT SIZE USE # JOB ADDRESS OWNER F� 5 U R {/ 17 ' ^y • ' O USE OF B ILDING 1 DATE PLAN CHECK FEE $ � CHECKED BY IcOdK4L1biIyy DISTRICTF.C. UNITS VALUATION OFFICE J MECHANICAL FEE $ 44 I GRO TYPE LEGAL D SCRIPTION PERMIT NUMBER , 3 CONSTRUCTION FEE $ �✓ uZ SPEC. INSP. SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ BOND CASH PLAN FILE # FINAL DATE INSPECTOR a...�' PLUMBING FEE $ •/�?d' TOTAL FEES"`� ,/) .+" THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED V WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL 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- i f SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO a/ T 0 LL PS 0 CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- I ANCE WITH LAWS OF THE STATE OF CALIFOR�A COVERING CON- w' TRACTORS IS ALSO GUARANTEED..—i NAME OF CONSTRUCTION LENDER OWNER CONTRACTOR i BRANCH OFFICE 1 NaDRESS N.lj ' L < �,l .5... ADDRESS ADDRESS CITY STATE - r ••'#- -,f �'1�ly� t� NO LENDER INVOLVED INFORMATION TEL. NO. TEL. NO. f �/ )� LICENSE NO. 284-208 12 8 11{•���(['Y•