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174980 (CP)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE • MOTOR CONSTRUCTION ESTIMATE ELECTRICAL FEES lst FI. 2nd FI. Par. Gar. Car P. Wall Sq. Ft. @ NO. Sq. Ft. @ Sq. Ft. @ GARBAGE DISPOSAL Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT.SCLK.D/ Sq. Ft. @ MOTOR H.P. Z PLAN CHECK FEE $ MOTOR ..P - ESTIMATED VALUATION is ;J r"�.. MOTOR f 11. P. MECHANICAL FEES T e FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. JOB ADDRESS OWNER WASHER (AUTO) (DISH) APPLIANCE FIXTURES V GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED t E OF BUILDINGTE OUTLETS �R LAUNDRY TRAY PLAN CHECK FEE $ AIR HANDLING UNIT �_ Xf ;J r"�.. SUB -PANEL CHECKE BY KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL VALUATION OFF/ E MECHANICAL FEE $ WATER CLOSET jDTSTRICt COMPRESSOR E=�HP 7 X/J RANGE AND/OR OVEN O LAVATORY LEGAL DESCRIPTIONj` J p j� 3y y 4f APPLIANCE VENT PEMR WATER HEATER SPEC. /NSP. SHOWER SUPP. TO PERMIT ABSORPTION SYSTEM D B.T.U. SPACE HEATER ELECTRICAL FEE $ BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE BONO $ WATER HEATER t HEATING SYSTEM ❑ FORCED ❑ GRAVITY FINAL DATE SERVICE ENTRANCE SEWAGE DISPOSAL BOILER B.T.U. I RESID. 16 SO. FT. HOUSE SEWER PERMIT FEE GARAGE zQ SO. FT.�� 3 - (� • Ilq,,�,,,,L,Q GAS PIPING TOTAL FEES 67 :wO VOID R NOT COMMENCED PERMIT FEE :70 L PERMIT FEE 0� PFR IIyJ_T AU AIB F.a � REN. DBL. T�� HEAT & VENT FE pLN . CK. EE CON IJ IF J F I. I EELEC. FEE PLUMB. of Q ....— S O N D I_ SET BACK LOT SIZE USE # JOB ADDRESS OWNER ,,yc'^' n� /y ZONE t E OF BUILDINGTE �R if .rte PLAN CHECK FEE $ �_ Xf ;J r"�.. CHECKE BY OMM ITY UNI S VALUATION OFF/ E MECHANICAL FEE $ I '�� jDTSTRICt JF.C. 7 X/J CONSTRUCTION FEE $ ^"" O I TYPE LEGAL DESCRIPTIONj` J p j� 3y y 4f 1 PEMR SPEC. /NSP. SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BONO $ BOND CASH PLAN FILE # FINAL DATE IN PECTOR I PLUMBING FEE $ 3 - (� • Ilq,,�,,,,L,Q TOTAL FEES 67 :wO VOID R NOT COMMENCED WITHIIS N 60ERMIT DAYS.SHALL CESSATBECOME 01S ON OF WORK/ FOR DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY 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- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO I 14/� ,; l- T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER OWNER CSO N,Th AfC1T•O R/' BRANCH OFFICE �+ c° F r /- /:'•p , •.• ."!. f" 1/ G- ^" ADDRESS ADDRESS ADDRES4 e or`. CITY STATE NO LENDER INVOLVED INFORMATION TEL. NO. { W ✓ LICENSE NO. >e4 -20e 12/68