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174929 (CONR)PE FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTFNFR VENT SYSTEM FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE 0 H. P. CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st Fl. 2nd Fl.4 P,*IO Gar. Car P. Wall �.� Sq. Ft. @ f �� ^-� NO. Sq. Ft. @ GARBAGE DISPOSAL Sq. Ft. @ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT SCLK D/ Sq. Ft. @ MOTOR H. P. • O FI E MOTOR H. P. ESTIMATED VALUATION $ MOTOR H. P. MECHANICAL FEE MOTOR PE FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTFNFR VENT SYSTEM FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. LOT SIZE WASHER (AUTO) (DISH) JOB ADDRESS OWNER `� ,G t ,f ? F ! APPLIANCE FIXTURES R ' GARBAGE DISPOSAL VSC OF BUILDING DATE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS ¢,'7' S" LAUNDRY TRAY COMM NITY '- AIR HANDLING UNIT SUB -PANEL - • O FI E KITCHEN SINK .� GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET MECHANICAL FEE $ COMPRESSOR �HP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER GAL D 5 R PTION SHOWER PERMIT NUMBER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB - INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE f- —r,J� 4e WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE - SEWAGE DISPOSAL % BOILER B.T.U. R6. 13 SO. FT. V HOUSE SEWER —ho PERMIT FEE G fr jQ SO. FT. %4,S GAS PIPING 11P PERMIT FEE - / PERMIT FEE 0N REN. IDSL. J F ..r., M J F M EAT EVENT FEE PLN. CK, M ' J J CONST, FEE ELEC. FEE ,�. VLu w A S O N , o SET BACK LOT SIZE USE It JOB ADDRESS OWNER `� ,G t ,f ? F ! F ?i 5 R ' ZONE VSC OF BUILDING DATE PLAN CHECK"FEE $ r�, ¢,'7' S" CHECKED BY COMM NITY '- ISTRICT ve.UNITS - • O FI E ^ [VALtJAY'fON MECHANICAL FEE $ 4Ai GROUPTY GAL D 5 R PTION PERMIT NUMBER 49,n CONSTRUCTION FEE $ f- —r,J� 4e 17 SPEC. INSP. - SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ BOND CASH PLAN FILE 0 FINAL DATE INSPECTOR !��e I PLUMBING FEE g - l' -7Q t_,� TOTAL FEES $ a1„Zr THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED 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- ILL IP SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO ;d T CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER LENDER / i OWNER CONTRACTOR BRANCH OFFICE ADDRESS - ,n+' ADDRESS ADDRESS CITY 4 STATE v n NO LENDER INVOLVED INFORMATION TEL. NO. TEL. NO. %f ,y /y�r� )� p /j1` /��/ q I L� �I o l s 1 7 V✓ A 1l/'/� /�/ 1!t'^ LICENSE NO. ;84-208 12/88 � _ ./ `