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268241 (AR)" BUILDING PERMIT y DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE FIELD OFFICE CONSTRUCTION ESTIMATE` NO. ELECTRICAL FEES NO: PLUMBING FEES I ST FL. 9Q 2ND F_L. POR. GAR. CAR P. WALL SQ.FT. @ %f j UNITS F.C. JDATE SQ. FT. @ YARD SPKLR SYSTEM SQ. FT. @ +� �:+ 7 +-�• MOBILEHOME SVC. BAR SINK SO. FT. @ POWER OUTLET ROOF DRAINS SO.FT. @ DRAINAGE PIPING SQ. FT. '@ I DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION HEATING SYSTEM FORCED ❑ GRAVITY URINAL WATER PIPING NOTE: Not to be used as property tox valuation SWIM POOL,.PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMM WATERSOFTENER I VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) 049 APPLIANCE ` 1 r_e oae�o nwoncni FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB ADDRESS _ SP NO OWNER 74 LAUNDRY TRAY AIR HANDLING UNIT CFM ]S 76 .IDLE METER F.C. JDATE KITCHEN SINK ABSORPTION SYSTEM j B.T.U. M H PERMIT FEE TEMP USE PERM SVC $ WATER CLOSET COMPRESSOR HP 0,0 POLE, TEMP/PERM ROOMS LAVATORY HEATING SYSTEM FORCED ❑ GRAVITY 9,0 AMPERES SERV ENT SHOWER BOILER B.T.U. 14 0 0417A SQ FT @ ¢ I BATH TUB I 049 SQ FT @ a MICROFILM FEE WATER HEATER $ © SO FT,RESID @ % SIP SEWAGE DISPOSAL SQ FT GARAGE @ '/za MECHANICAL FEE HOUSE SEWER PERMIT FEE v .4 _ 1 LOT SIZE ZONE GAS PIPING MOBILE HOME PERMIT FEE $ GRP P TYPE E PERMIT FEE o PERMIT FEE PE MIT NO. 2 4 TOTAL FEES — MOB. HM.FEE MICRO FEE MECH. �FEEDBL. 13 PL. CK. FEE 3 ,� CONST. FEE 69V,� DBL. ELECT. FEE nsa DBL' SMI FEE f FEE PLUMB. FEE�"26 PLAN NO. J E M A M J A S. Q N D JOB ADDRESS _ SP NO OWNER 74 ]S 76 USE OF PERMIT ` ��a���riA i �r,/�� �.t F.C. JDATE /G? - 3/-�r�- P M N 2 41 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE 14 0 0417A I I Z_ MICROFILM FEE COPIES $ LEGAL DESCRIPTION .s e --.G;241 /6�r= /� /¢" } � ' �J� `� ( MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE E USE NO. . S GRP P TYPE E C CK BY i J t/ I Avis � RJB PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IgCTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER IN OLVED 10 0 ELECTRICAL FEE DBL $ ADDRESS CITY STATE /49 � STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACZOR" INSTRUMENTATION FEE l � d/ S. .pw t el $ ADDRESS ADDRESS FEE � � PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE '571H ?OI7Cst�'3 TOTAL FEES $ TEL. NO. TEL. NO. , LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ ; ,Al/ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA. OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. F✓TION RECEIVED BY� TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO SEWAGE SYSTEM IT LL - P _, --,. AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE .r—r.�s.-Asn...ami..okovru..o.�n,w:.non.ia_n�`•r�.u.cn�.n.�r ��n.�r.o.nr_x�oc_Lc_ni_c r_�ciin nn nircr_r� - -