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176787 (BLCK)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SnCTFNER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE . APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Par. Gar. Car P. Wall OUTLETS Sq. Ft. @ AIR HANDLING UNIT NO. Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATER CLOSET Sq. Ft. @ POLES Sq. Ft. @ Sq. Ft. @ '�.w� SIGNS �.+�' TRANS. LKD/ Sq. Ft. @ MOTOR H. P. ABSORPTION SYSTEM B.T.U. MOTOR H. P. ESTIMATED VALUATION Is ry tlU Moron H. 0. WATER NEATER MECHANICAL FEES MOTnR N R FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SnCTFNER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE 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 �HP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM B.T.U. SPACE NEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER NEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER D B.T.U. RESID. iQ SO. FT. HOUSE SEWER PERMIT FEE GARAGE zQ SO. FT. GAS PIPING R PERMIT FEE PERMIT FEE PERMIT NUMBER REN. 11S HEAT & IT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE R787v 11BLAITOTAL oa FM A M J J A 5 O N D J F M A M J J A S O N D SET BACKLOT SIZE USE 0 JOB ADDRESS ii *-w OWNER F S R ZONE USE OF BUILDING �/ DAT PLAN CHECK FEE $ —/ Rx &4 moi' .4A S CHECKED BY COMMUNITY U41 TT VALU rtymOF ICE Jf�� IDISTRICTr. MECHANICAL FEE $ IS A �+ r P LEGAL D`E9-cFfIF,1rTOT IFPERMIT 1767 NUMBER CONSTRUCTION FEE $ � 7_-4,zvv,j v 4 o ' aC ELECTRICAL FEE $ SPEC.INSP. SUPP. TO PERMIT PLAN CHECKER BOND $ BOND CASH PLAN FILE it FINAL DATE IN(/SpJ�E CST OflR PLUMBING FEE $ I [l1 TOTAL FEES 49 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- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO 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 &&Z, OWNER CONTRACTOR' /l 4j+ -� rl BRANCH OFFICE ADDRESS ADDRESS ADDRESS )^J Y (/.� �] 0,,a 49X CITY STATE NO LENDER INVOLVED t/ ! V�V INFORMATION / h S TEL. NO. TEL. NO. LICENSE NO. zea-zoe iz/eek �-�• D �*�