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268346 (CRES)
ti. FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE t DST CONSTRUCTION ESTIMATE NO. . ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ.FT. @ UNITS 1'7 2ND FL. SO. FT. @ LAUNDRY TRAY YARD SPKLR SYSTEM POR. SQ. FT. @ MOBILEHOME SVC. BAR SINK GAR. SO. FT. @ POWER OUTLET ROOF DRAINS CAR P. SO.FT. @ COMPRESSOR HP ' DRAINAGE PIPING SQ. FT. @' LAVATORY DRINKING FOUNTAIN 79URINAL SQ. FT. SHOWER ESTIMATCO STRUCTION VALUATION $ SQ FT @ ¢ WATER PIPING NOTE: Not to be used os property tax voluotion SWIM. POOL. PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMM WATERSOFTENER SOFT RESID @ 1 ¢ VENT SYSTEM ❑ FAN ❑ • EVAP. COOL ❑ HOOD SIGN WASHFP (AI ITOI lr)ISHI APPLIANCE JOB ADDRESS 74 -GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 1'7 75 LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER P M N KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC -,/ / ,� WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM $ LAVATORY HEATING SYSTEM ❑ FORCED O GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. SQ FT @ ¢ OFFICE BATH TUB SQ FT @ a WATER HEATER SOFT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE a MICROFILM FEE HOUSE SEWER PERMIT FEE r LEGAL DESCRIPTION GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE.. PERMIT FEE PE MIT NO. 2 6 3461 TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE �= CONST. FEE ' DBL. ELECT. FEE, DBL. SMI FE FEE PLUMB. FEE JDBL. • h M- A M J AS 0 j�j D. JOB ADDRESS 74 1'7 75 USE OF PERMIT F, C. DATE P M N 76 � --.. -; -,/ / ,� . 8346 M H PERMIT FEE $ COMMUNITYDST VALUATION SUPP. TO PERMIT OFFICE • 20 .I f "-p aI MROOMS I MICROFILM FEE COPIES $_ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONEUSE NO. GRP TYPE �J y, �ICKBY PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN, CHECKER FINAL DA '�L»I INS R CTYJ /J r CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO (ENDER NVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR INSTRUMENTATION FEE ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE / TOTAL FEES � $ I� �_ "'"� TEL NO. �-�/..,.• TEL. NO. LICENSE y7 „_ CASH ❑ CHECK,( M.O. ❑ N.C. ❑ l�f� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA RECEIVED BY�Ay TREES REQUIRED l� %.I &1•ON OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. PPP"' I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC SEWAGE SYSTEM CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC T jL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev.. 10-74) ©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE - OF THE STATE OF CALIFORNIA.