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268159 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY kk COUNTY OF RIVERSIDE i NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI (DISH) DST APPLIANCE CONSTRUCTION ESTIMATE 1 ST FL. GARBAGE DISPOSAL SQ.FT. @ 2ND FL. LAUNDRY TRAY SQ. FT. @ POR. IDLE METER SO. FT. @ - GAR. B.T.U. SQ. FT. @ CAR P. COMPRESSOR 0 SO.Fl. @ WALL LAVATORY SQ. FT. @ lwaofll I-/ hl��, SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used os property tox voluation BATH TUB MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD NO. I ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER IAUTOI (DISH) DST APPLIANCE .JOB ADDRESS �, SP NO -�,�� /,Ar oil, OWNER ex GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED !r-',z- LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER L_—J B.T.U. ROOMS SQ FT @ ¢ BATH TUB OFFICE SQ FT @ ¢ WATER HEATER 'Vrol VDA 1?01 . SOFT RESID @ I ¢ SEWAGE DISPOSAL I SQ FT GARAGE @ '/2¢ HOUSE SEWER PERMIT FEE COPIES $ GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE 2 pERh11T ,5 TO ALMS MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE CONS��F E DBL. ELECT. FEE DBL. J I SMI FEE I FEE PLUMB. FEE DBL. J I F I M A I MJ J A S Q N D .JOB ADDRESS �, SP NO -�,�� /,Ar oil, OWNER ex 74 o !r-',z- 751 1 1 1 1 USE OF PERMIT F.C. DATE /S- �7r PE IT O. 2 6" 815 9 76 , M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE 'Vrol VDA 1?01 . I I MICROFILM FEE COPIES $ LEGAL, DESCRIPTION /7 MECHANICAL FEE DBL $ SETBACK LOT SIZE Z//ONE USE NO. GRP TYPE CK BY 6 -/ F S R PLAN CHECK FEE $ BOND AMT.PLAN NO. PLAN CHECKER FINAL DATE INS CTOR ! l` - CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNFGEN;'S SICaMATURE �' / CONTRACTOR INSTRUMENTATION FEE ///! �!`� FEE $'L/•r ADDRESS 4 U 1-4. M" -5 A PLUMBING FEE DBL $ CITY ;-� ZIP CODE CITY ZIP CODE /-AA TOTAL FEES $ i ' (� �j TEL. N0. y(('o : fz TEL. NO. LICENSE CASH ❑ C)i ECK M.O. ❑ N.C. Q THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA tv ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC 00 CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTE T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I A %A/C ! C TUC CT A TC ! C ! A I IC(lDAll A ('/IAITDArT(1DC IC A I Cn i'I IA DA NITCCn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS 208 (Rev. 10-74) QP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE 6 OF THE STATE OF CALIFORNIA.