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260772 (CP)0 DST l/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESS SP NO 7�,�� FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY �/vrg C, : /n!7'A 75 COUNTY OF RIVERSIDE CFM CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ.FT. @ UNITS ABSORPTION SYSTEM SQ. FT. @ TEMP USE PERM SVC YARD SPKLR SYSTEM 2ND FL. SO. FT. @ MOBILEHOME SVC. BAR SINK I POR. SQ. FT. @ POWER OUTLET ROOF DRAINS GAR. SOFT. @ DRAINAGE PIPING CAR P. SO. FT. @ DRINKING FOUNTAIN WALL co"I'4 j".1 SO, FT. @ URINAL ESTIMATED CONSTRUCTION VALUATION $ C6P WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM d Q WATERSOFTENER SQ FT @ ¢ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑HOOD SIGN WASHER (AUTO) IDISHI j APPLIANCE LOT SIZE Z,,,O(((N���E GARBAGE DISPOSAL 0 DST l/ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESS SP NO 7�,�� OWNER j Jd 74 LAUNDRY TRAY �/vrg C, : /n!7'A 75 AIR HANDLING UNIT CFM IDLE METER ERMIT NO. 76 KITCHEN SINK /0 ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC $ WATER CLOSET DST I UNITS COMPRESSOR HP POLE, TEMP/PERM OFFICE LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER 6 o BOILER 0 B.T.U. COPIES SQ FT @ ¢ LEGAL DESCRIPTION j BATH TUB tj SQ FT @ ¢ DBL $ WATER HEATER /J LOT SIZE Z,,,O(((N���E SQ FTRESID @ 1¢ GRP TYPE SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE PLAN CHECK FEE $ 7 GAS PIPING PLAN NO. e MOBILE HOME PERMIT FEE Is I I I I PERMIT FEE fj / PERMIT FEE oe) PERMIT NO. 260772 TOTAL EES_ M08. HMSEE MICRO FEE MECH. FEE DBL. �PL. CK. FEE pcvi�v �CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB...FLEE �D�" DBL. J F M A M ) ) A S Q N D JOB ADDRESS SP NO 7�,�� OWNER j Jd 74 ,x% y'oo (! G'Ldh,-Ir ,4 �/vrg C, : /n!7'A 75 USE OF PERMIT C���Mt�A,'r. X00/ azo F.C. DATET260772 ERMIT NO. 76 /0 M H PERMIT FEE $ COMMUNITY / /'4,1 DST I UNITS ROOMS I VALUATION SUPP. TO PERMIT OFFICE A/ , .4 6 o MICROFILM FEE COPIES $ LEGAL DESCRIPTION j tj MECHANICAL FEE DBL $ SET BACK LOT SIZE Z,,,O(((N���E USE NO. GRP TYPE CK BY ,+ -3o IS IR / `J PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR : a � - ) b CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER 1 plvo VED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR +f INSTRUMENTATION FEE $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ (� SU CITY ZIP CODE CITY} ZIP CODE 1AA0/0 TOTAL FEES $ 3 s- TEL. NO. '17 TEL. NO. LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY J TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC '4 CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM0( l T LL P 6�f AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI nm roc Tuc CT n Tc un r-rwn nn nrccn I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) pL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.