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304030 (BLCK)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY,, jig, FIELD OFFICE PERMIT NO. 304030 PERMIT NO. H M O COUNTY OF RIVERSIDE- DST CONSTRUCTION ESTIMATE , NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. SQ. 2ND FL. POR. SQ. GAR. SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT. Q $ UNITS SQ. FT. 8 YARD SPKLR SYSTEM FT. fad MOBILEHOME SVC. BAR SINK` FT. ® POWER OUTLET ROOF DRAINS FT. (e} DRAINAGE PIPING FT. 8 ti DRINKING FOUNTAIN ap SQ. FT., +_ URINAL VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation .' �Q SWIM POOL, PVT FLOOR DRAIN Construction Fee Dbl $ Electrical Fee Dbl $ MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Plumbing Fee Dbl $ VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER IAUTOI (DISH) Plan No. APPLIANCE ❑ DRYER GARBAGE DISPOSAL Plan Checker FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY Inspector it AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERMIT SVC WATER CLOSET Demol. Fee COMPRESSOR HP POLE, TEMP/PERM LAVATORY- AVATORY`HEATING Const. Lender Address - • HEATINGSYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER which this permit is issued I shall me subject to the workmen s com- - ' BOILER 0 B.T.U. SQ. F.T. ® ¢ BATH TUB Mileage Fee $ SQ. FT. p ¢ WATER HEATER Reinsp. Fee SQ. FT. RESID @ 1 i/.¢ SEWAGE DISPOSAL Owner/Agent , SQ. FT. GAR ® Y. HOUSE SEWER Tel. - _ ' Zip GAS PIPING Total Fees$ M.O. ❑ N.C. ❑ Cosh ❑ Chec PERMIT FEE PERMIT FEE PERMIT FEE City - - DBL. [],TALFE;: MOB. HM. FEE MICRO FEE MECH. FEE PL. CK. FEEr "CONST. FEE ELECT. FEE SMI FEE FEE PLUMB. FEE PERMIT NO. 304030 Supp. Permit Job Address unity - Spoce Zip Owner - -= Valuation Date $ p 0 t Dist. Off. F.C. / MH Permit Fee $ Micro Film Fee Cop $ Use o ermit - Parcel No. L+�d �V iN T7�.L• x - 31p�. t Backs Legal Description F S S R 3517 //��//ff% Zone Grp Type- ��. �/C} Q/'17�/ �� /-�% S I Use No. Ck.by Lor Size Unit i Mech. Fee Dbl $ PI. Ck. Fee $ Construction Fee Dbl $ Electrical Fee Dbl $ SMI Fee $ Plumbing Fee Dbl $ Bond Amt. $ Plan No. Plan Checker Final Dote Inspector it Sp. Insp. Fee $ Demol. Fee $. Const. Lender Address - • Branch 'I certify that in the performance of the wor - not employ any person in any manner so as to pensorion laws of Colifornia." City Zip w Owner Signature - Builder Signature which this permit is issued I shall me subject to the workmen s com- - ' Registr. Fee g Mileage Fee $ Witness Fee $ Reinsp. Fee $ Owner/Agent , _ Tel. - _ ' Zip Total Fees$ M.O. ❑ N.C. ❑ Cosh ❑ Chec Address -- _ - City - - Zip Received by Trees required Sewage System _ Contractor AMr73- ,F'� Tel. Cit - Y Zip License # - rkers' mp. ye ° no ❑ LL 1• 'Sewer District Form 284.208 (Rev. 477) ©s >H1S PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OIF verified by, WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE~ WITH THE LAWS OF RIVERSjDECOUNTY AND.TH€ STATE -QF CALIFORNIA_ I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE j SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF -'THE STATE OF CALIFORNIA.