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268474 (ELEC)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS VENT SYSTEM O FAN O EVAP. COOL O HOOD MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE IDST NO. PLUMBING FEES t� YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE .JOB ADDRESS SP NO y9 900 �'4 �a�, OWNER 4 04 66), CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SO. FT. @ CAR P. SOFT. @ WALL SO. FT. @ TEMP USE PERM SVC SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS VENT SYSTEM O FAN O EVAP. COOL O HOOD MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE IDST NO. PLUMBING FEES t� YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE .JOB ADDRESS SP NO y9 900 �'4 �a�, OWNER 4 04 66), 74 GARBAGE DISPOSAL FURNACE O UNIT O WALL O FLOOR O SUSPENDED 75 USE OF PERMIT \ 7'.5F.C. LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER F14FC., fv�I/-a.e KITCHEN SINK ABSORPTION SYSTEM I B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLI, T`EW/PERM -P UNITS LAVATORY HEATING SYSTEM O FORCED O GRAVITY AMPERES SERV ENT OFFICE SHOWER BOILER 0 B.T.U. SQ FT @ a rr BATH TUB SQ FT @ ¢ WATER HEATER MICROFILM FEE COPIES SQ FT RESID @ 1¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE . $ GAS PIPING MOBILE HOME PERMIT FEE Is USE NO. PERMIT FEE © PERMIT FEE 2 J ERiY11T tLO.� 684 TOTAL ,FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PE L. CK. FE CONST. FEE DBL ELEECCT� DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I 1 A I S 1 O 1 N I D .JOB ADDRESS SP NO y9 900 �'4 �a�, OWNER 4 04 66), 74 c�/r�',1,� 14 wAl-rA v, 75 USE OF PERMIT \ 7'.5F.C. DATE PE IT O 76 F14FC., fv�I/-a.e '*� 6$474 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION Ofd SUPP. TO PERMIT OFFICE rr MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE BY i I�'— I F5 R PLAN CHECK FEE $ BOND AMT.PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY ,5iATE STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CO TRACTO i /4 .�� FEE $ ADDRESS ADDRESS Aair 0 1-Yv,1� "�� PLUMBING FEE DBL $ CITY ZIP CODE CITY CZIP CODE lVi,:�Jfolc i 13r ierl, TOTAL FEES $ !7 TEL. NO. TEL. NO. LICENSE / d 31//o ,- 1-11911 CASH ❑ HECK M.O. O N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIREDTION 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 SEWAGE SYSTEM IT LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THi I A\AIC 11C TUC CT A TCr Cl AI IC/ 0—A l-/l\/CDI AIr!' KITDA CTl DC IC A I CII!_I IA DA KITCCn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) OP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. .