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ESTIMATED VALUATION is
MECHANICAL FE
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APPLIANCE
> FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED
J
Z AIR HANDLING UNIT
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BOILER B.T.U.
RESIDENTAL FEE SO. FT.
�•
PERMIT FEE
PERMIT 1714 � /� REN. JDBL. TO
•G� JTAL FE
I F M
DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
ELECTRICAL FEES
.!.i E^ NO. q, ,
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
5 E T BACK
DRINKING FOUNTAIN
LOT SIZE
URINAL
JOB ADDRESS OWNER
7 ea
POLES
FLOOR DRAIN
F
WATER SOFTENER
R 1V
SIGNS
GARBAGE DISPOSAL
.... �� .e7 4zz�, J
LAUNDRY TRAY
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OR T. CLK.
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'
LAVATORY,
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BATH TUB
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MOTOR
H.P.
SEWAGE DISPOSAL
44A
92
MOTOR
H.P.
VALUATION F
f PERMIT FEE
'
MOTOR
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` TYPE
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1 1 y
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-
SUPP. TO PERMIT
ELECTRICAL FEE
WATER HEATER
B.T.U.
SPACE HEATER
PLAN CHECKER
BON $
BOND
CASH
CONSTRUCTION POLE vif/
FI DATE
y.
SERVICE ENTRANCE �J
�44
e2
RESID. IC SO. FT.
G
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- GARAGE -,LC SO. FT. i'S
_
TOTAL FEES
PERMIT FEE
L19CONST..
HEAT w& VENT
,.FEE
E
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PLN.. CK. FEE
'FEE
EL
M J
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5
FIELD OFFICE
PLUMBING FEES
DRAINAGE PIPING
5 E T BACK
DRINKING FOUNTAIN
LOT SIZE
URINAL
JOB ADDRESS OWNER
WATER PIPING
FLOOR DRAIN
F
WATER SOFTENER
R 1V
WASHER (AUTO) ``DISH)
GARBAGE DISPOSAL
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USE bF BUILDING D T E
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'
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WATER HEATER
SEWAGE DISPOSAL
COMMUNI Y
HOUSE SEWER
GAS PIPING
VALUATION F
f PERMIT FEE
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FEE `��•9
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JOB ADDRESS OWNER
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ZONE
USE bF BUILDING D T E
PLAN CHECK FEE
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CHECKED BY
COMMUNI Y
DISTRICT
1JNITS
VALUATION F
c
MECHANICAL FEE
1-
f
" yyy
-
OUP
` TYPE
LEGAL D 1 TIO
1PERM1T
NUM BEf//�)_
7 4 8
CONSTRUCTION FEE
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SPEC. INSP.
-
SUPP. TO PERMIT
ELECTRICAL FEE
PLAN CHECKER
BON $
BOND
CASH
PLAN FTLE # -
FI DATE
INSPECTOR
PLUMBING FEE
�44
e2
-NN -JAL
U
_
TOTAL FEES
$iJ'"�'
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THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED
WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK I <L M.O. 1 N.C.
RECEIVED BY
SEWAGE SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER-
ILL
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
T lzrov
P
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- `.
ylCa,
:f INFORMATION
TRACTORS IS ALSO GUARANTEED.
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OWNER
CONTRACTOR ` P
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ADDRESS
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No L3H7TV INVOLY
TEL. NO.
TEL. NO.
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LICENSE NO.
284-208 11/87