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280459 (ELEC)r .BUILDING PERMIT " DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE I FIELD OFFICE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES .NO. PLUMBING FEES I ST FL. 2ND FL. POR. GAR. CAR P. WALL B.T.U. if UNITS 17 F. C. IDAr(/1_7 SO. F•T., @ YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOME SVC. BAR SINK SO., FT. @ POWER OUTLET ROOF DRAINS . SOFT. @ DRAINAGE PIPING SO. FT. @ DRINKING FOUNTAIN SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ COMMUNIT j URINAL WATER PIPING NOTE: Not to be used os property tax voluotion SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL. COMMf WATER SOFTENER WATER HEATER VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN s WASHERIAUTOI (DISH) FEE APPLIANCE $SETBACK GARBAGE DISPOSAL SQ FT GARAGE @ 'ha FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED I fNqi�!_ !J U� g7 n I AI INr)RY TRAY ,/ AIR HANDLING UNIT CFM IDLE METER 74 KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC F. C. IDAr(/1_7 WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. COMMUNIT j SQ FT @ ¢ UNITSROOMS BATH TUB VALUATION s r` SUPP. TO PERMIT SQ FT @ a MICROFILM FEE WATER HEATER $ SQ FT RESID @ 1 a FEE SEWAGE DISPOSAL $SETBACK SQ FT GARAGE @ 'ha LOT SIZE ZONE HOUSESEWER PERMIT FEE GRP, TYPE BY GAS PIPING MOBILEHOME PERMIT FEE $ PERMIT FEE PERMIT FEE 2 pERMOIT NO 8 4 TAS FEES 9 U_ MOB. HM FEE MICRO FEE MECH. FEE DBL PL. CK FEE CONST. FEE DBL. EL �qBLTMI FEE FEE PLUMB FEE DBL. J I F I M A I M I J I J A 1 $ 1 Q 1 N I D JOB ADDRESS SP NO 375 OWNER l�ed�1A 74 US �>� JQV`v��l F. C. IDAr(/1_7 7V PEL 1900 4 5 9 76 �RMIT %!� M H PERMIT FEE $ COMMUNIT j DST UNITSROOMS VALUATION s r` SUPP. TO PERMIT FIC MICROFILM FEE COPIES $ LEGAL DESCRIPTION Z�lMECHANICAL FEE DBL $SETBACK LOT SIZE ZONE /PLANEBONDAMT. USE NO. GRP, TYPE BY CHECK FEE $ PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR /�"./ 3 ? ti�/VK CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ w ADDRESS CITY STATE 6 STRONG MOTION INSTRUMENTATION FEE $ OWNER/AGENT'S SIGNATURE CONTRACTOR'! FEE $ ADDRESS ADDRESS t� F 6 PLUMBING FEE DBL $ CITY ZIP -CODE CIT ,,ZI/fPCODE 41117 �p / S� �LE�Z TOTAL FEES $ TEL. NO. -• TEL. NO. LI ENS A77 , 1, E0 CASH ❑ CHECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA ^ N OF 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 AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC RECEIVED BY Yiyt� TREES REQUIRED It SEWAGE SYSTEM T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.