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222831 (SATT)J F M 73 74 75 M.H. HOOKUP FEE MECHANICAL FEE DBL $ PLAN CHECK FEE $ L• SET BACK FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTOIDISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE -- F.C. DATE J DST I UNITS r ROOMS I VALUATION ^^ ai FINAL DATE d0 1 222831 TO PERMIT I OFFICE CONSTRUCTION FEE DBL $ BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE 4 CONSTRUCTION ESTIMATE.w— YAME OF CONST. LENDER ELECTRICAL FEES.,,.., I ST FL. SQ. FT. @ 0 "9 41 VZ4NO. 2ND FL. SQ. FT. Cia `1 s POR. SQ. FT. @*/- MOTOR I OR LESS H.P. GAR. SQ.FT. @ .tom` L:.Ei MOTOR 5 OR LESS H.P. CAR P. SQ. FT. @a MOTOR 20 OR LESS H.P. WALL SQ.FT. @ STATES I' - i SQ. FT. @ j ESTIMATED CONSTRUCTION VALUATION $ ;rA A IVA K.W. UNITS i NOTE: Not to be used as property tox voluation $ MECHANICAL FEES VENT SYSTEM 7 - FAN ❑EVAP. COOL &HOOD THIS PERMIT SHALL BECOME OID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. SIGN APPLIANCE do FORMER 0 K.W. FURNACE Cl UNIT ❑WALL IfFLOO ❑SUSPENDED OUTLETS PLUMBING FEE AIR HANDLING UNIT I = CFM $ FIXTURE OR SOCKET GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH COMPRESSOR HP POLE 4410 APPLIANCE VENT AMPERES SERV. ENT. ABSORPTION SYSTEM B.T.U. SO. FT. @ Q HAS DONE SO IN ACCORDANCE WITH SECTION 5' 41 F E B SINES P OF SSIONS ilc-11- INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. 'T SO. FT. Lal Q STATE OF CALIFORNIA. CA OWNER CO TRACTOR HEATING SYSTEM [„FORCED ❑ GRAVITY V SQ. FT. RESID. @ 1 4 _7 ADDRESS BOILER 0 B.T.U. LL ' SQ. FT. GARAGE @.1/24_,,, PERMIT FEE CITY BALANCE OF MIN. FEE MOBILE HOME HOOKUP FEE $ NO PERMIT FEE �PE�$[%+IIL,N #1 I (jS� TOTAL FEES �� MOB. HK. FEE MICRO FEE SEC'. F DBL PL. CK. FEE � _7 CONST. FEE 4:57 J F M 73 74 75 M.H. HOOKUP FEE MECHANICAL FEE DBL $ PLAN CHECK FEE $ L• SET BACK FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTOIDISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING PERMIT FEE -- F.C. DATE J DST I UNITS r ROOMS I VALUATION ^^ ai FINAL DATE d0 1 222831 TO PERMIT I OFFICE CONSTRUCTION FEE DBL $ I I . ! 7 3 YAME OF CONST. LENDER BRANCH OFFICE .NO LENDER INVOLVED • ELECTRICAL FEE DBL $ ADDRESS CITY STATES I' - f9p ;rA A IVA CAijrl. ` SMI FEE $ THIS PERMIT SHALL BECOME OID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. FEE $ 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 ALSO PLUMBING FEE DBL $ AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH 4410 THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHOP R THE ANS AND PECIFICATIONS $ TOTAL FEES�/ HAS DONE SO IN ACCORDANCE WITH SECTION 5' 41 F E B SINES P OF SSIONS ilc-11- 'T cS STATE OF CALIFORNIA. CA OWNER CO TRACTOR CASH ❑ CHECK 1;i�- M.O. ❑ � N.C. ❑ RECEIVED BYt ADDRESS ADDRESS SEWAGE SYSTEM T LL P CITY CITY ' TREES REQUIRED YES NO t:ORM TION TEL. NO. 9L. NO. I FORM 284.208IRe, 11/721 L_