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268976 (SFD)CAR P. SO.FI. @ WALL SO. -FT. @� SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ` s� NOTE: Not to be used as property tax voluation MECHANICAL FEES VENT SYSTEM FAN ❑ EVAP. COOL 21 HOOD 14P DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL, COMM WATERSOFTENER SIGN /I w AC NFD I A I ITnNFlICWI </ I,In APPLIANCE / - 74 FIELD OFFICE BUILDING_ PERMIT GARBAGE DISPOSAL DEPARTMENT OF•BUILDING & SAFETY FURNACE ❑ UNIT ❑ WALL ❑ FLOC) ❑ SUSPENDED USE OF PERMIT '-' F.C. JDATE COUNTY OF RIVERSIDE JPM-476 LAUNDRY TRAY i &// .: -far 0c' AIR HANDLING UNIT DST 'CONSTRUCTION ESTIMATE IDLE METER NO. ELECTRICAL FEES NO. PLUMBING FEES KITCHEN SINK ST FL.. CJ~ SOFT. @ , 7 " UNITS TEMP USE.PERM SVC SO. FT. @YARD —57 +.5—G�5MOBILEHOME 4�/ SPKLR SYSTEM 2ND FL. POR. �� SO. FT. @ � POLE, TEMP/PERM SVC. BAR SINK z" GAR ,:r6 5F SO FT Q. 0 "` - f ^�� ^ POWER OUTLET ROOF DRAINS - A" n CAR P. SO.FI. @ WALL SO. -FT. @� SO. FT. @ ESTIMATED CONSTRUCTION VALUATION $ ` s� NOTE: Not to be used as property tax voluation MECHANICAL FEES VENT SYSTEM FAN ❑ EVAP. COOL 21 HOOD 14P DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING SWIM POOL, PVT FLOOR DRAIN SWIM POOL, COMM WATERSOFTENER SIGN /I w AC NFD I A I ITnNFlICWI </ I,In APPLIANCE / - 74 �¢^ j JOWNER GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOC) ❑ SUSPENDED USE OF PERMIT '-' F.C. JDATE JPM-476 LAUNDRY TRAY i &// .: -far 0c' AIR HANDLING UNIT I CFM M H PERMIT FEE IDLE METER $ �% KITCHEN SINK i 22 ABSORPTION SYSTEM 0 B.T.U. VALUATION TEMP USE.PERM SVC ; WATER CLOSET 4�/ COMPRESSOR HP 7 POLE, TEMP/PERM JANITS LAVATORY - �p HEATING SYSTEM IN FORCED ❑ GRAVITY QD AMPERES SERV ENT $ fI SHOWER BOILER O.B.T.U. SOFT •@ ¢ DBL BATH TUB CS SIZE ZONE USE NO. SO FT @ ¢ TYPE / WATER HEATER i J f � SOFT RESID @ ,�Fr SEWAGE DISPOSAL V (1 PLAN CHECK FEE $ fj SO FT GARAGE @ 'ha !_ NO. HOUSE SEWER FINAL DATE �/ - � � . SPECTOR i INQM., a PERMIT FEE t OU $ / GAS PIPING NO LENDER INVOLVED MOBILE HOME PERMIT FEE $ .rr-- PERMIT FEE Op ELECTRICAL FEE PERMIT FEE $ PE MIT N 26�76 TOTAL FEES - .F MOB. HMEE MICRO FEE - MECH. FEE DBL. PL. CK. FEE CONST. FEE„ DBL. ELECT. FEE DBL. SMI FEE„ FEE PLUMB. FEE �-• JDBL. J F M A M J J A S O N D J08 ADDRESS T SP NO 74 �¢^ j JOWNER ]rj USE OF PERMIT '-' F.C. JDATE JPM-476 ]6 i &// .: -far 0c' M H PERMIT FEE $ COMMUNITY DST ROOMS VALUATION SUPP. TO PERMIT OFFICE JANITS MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACKLOT a SIZE ZONE USE NO. GRP TYPE CK BY f � F S R2 PLAN CHECK FEE $ BOND AMT.PLAN NO. PLAN CHECKER FINAL DATE �/ - � � . SPECTOR i INQM., a CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED 75 .rr-- ELECTRICAL FEE DBL $ ADDRESS CITY STATE , STRONG MOTION INSTRUMENTATION FEE $ �l OWNER/AGENT'S SIGNATURE CONTRACTOR 1 'i i N1 ! ( r� } ..FEE $ ADDRESS ADDRESS PLUMBING FEE DBL $ CITYZIP CODE ITV C ZIP CODE � r TOTAL FEES $ ;� ,�� � TEL. NO. TEL. NO. CASH ❑ CHECK (,V M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ION OF WORK FOR T20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. 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 ALSC RECEIVED BY TREES REQUIRED SEWAGE SYSTEM T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COAAPLIANCE WITH THI I " I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE FORM 28d-208 (Rev, 10-74) OP L 1 OF THE STATE OF CALIFORNIA.