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176704 (ELEC)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD DEPARTMENT OF BUILDING & SAFETY • COUNTY OF RIVERSIDE 0 H. P. CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Por. Gar. Car P. Wall FIXTURES Sq. Ft. @ GARBAGE DISPOSAL NO. Sq. Ft. @ OUTLETS Sq. Ft. @ LAUNDRY TRAY Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ TRANS. AND/ OR T. L.K. C Sq. Ft. @ MOTOR H.P. MOTOR M.P. ESTIMATED VALUATION Is OHP MOTOR H.P. 4 OVEN MECHANICAL FEES MOTOR H.P. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE JOB ADDRESS OWNER s FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET COMPRESSOR OHP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENT / SEWAGE DISPOSAL BOILER D B.T.U. RESID. IC SO. FT. HOUSE SEWER PERMIT FEE GARAGE iQ SO. FT. GAS PIPING PERMIT FEE «.es40 PERMIT FEE P RT U IRE", 111L, TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST, FEE ELEC, FEE PLUMB. FEE J 4 1111;1 11 F M A M J J A S O.- N D _-` I IJ IF IM IA IM J J IA S �O �N ID �" SET BACK ILOT SIZE USE # JOB ADDRESS OWNER s F S R ZONE DATE UISE OF B L N "" r'' "..,.✓y' /d `• �� PLAN CHECK FEE $ r'`� C. E KED BY "MM 1 ICT] _.C. VALUATION OFFICE JUNITS u �... MECHANICAL FEE $ YPE L ALbeAAIPTION W PERMIT NUMBER CONSTRUCTION FEE $ / _� - �( �: 17. 6704 SPEC. INSP, SUPP. TO PERMIT ELECTRICAL FEE $ �.- PLAN CHECKER BOND § BOND CASH PLAN FILE # FINA O INSP CTOR PLUMBING FEE $/ 4 j yy9 TOTAL FEES 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 r M. 6. N.C. RECEIVE 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 T LL I 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 f � OWNER CONT TOW I i (I!,-i.'C. BRANCH OFFICE - Add ADDRESS , A DRESS A RESS CITY STATE NO LENDER INVOLVED INFORMATION TEL. -NO. LICENSE NO.�, 84-208 12/88 4/