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174573 (RPL)NO. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL ' WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H.P. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • I LOT SIZE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Por. Gar. Car P. 011 P)t = Sq. Ft. @ F w NO. Sq. Ft. @ Sq. Ft. @ FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ oi�CLKK. Sq. Ft. @ MOTOR y H. P. MOTOR M.P. ESTIMATEb'GALUATION $ < ,B 4; MOTOR H. P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL MECHANICAL FEES _ e NO. FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL ' WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H.P. I LOT SIZE WASHER (AUTOI (DISH) JOB ADDRESS OWNER APPLIANCE FIXTURES F w 5 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS J Ali i/ V ZONE LAUNDRY TRAY DATE PLAN CHECK FEE $ AIR HANDLING UNIT SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER -CLOSET COM' NITY 1 RICT' F.d. COMPRESSOR OHP RANGE AND/OR OVEN OFFICE MECHANICAL FEE $ LAVATORY _ APPLIANCE VENT WATER HEATER i HOWER GP ABSORPTION SYSTEM D B.T.U. SPACE HEATER PERMIT BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER f HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE ��..... -r SEWAGE DISPOSAL BOILER B.T.U. RESID. 1C 50. FT. SPEC. INSP. , UMA-- y^ ELECTRICAL FEE $ "" PERMIT FEE GARAGE iC SO. FT. GAS PIPING �4;r ' PERMIT FEE. f+�t*, j PERMIT FEE _ 11 N N. IDBL. FEES MEAT B VENT FEE PLN,CK. FEE CONST. FEE ELEC. FEE J 14 M J J.J AS O JPLUMB* FEE q-�I.? N. IR SET BACK I LOT SIZE USE 0 JOB ADDRESS OWNER F w 5 R ..yam.. �.w! J ZONE USE OF BUILDIN - DATE PLAN CHECK FEE $ �f d� °'� � CHECKED BY COM' NITY 1 RICT' F.d. VALUATION OFFICE MECHANICAL FEE $ _ JUNITS < SP !f /i GP TYPE LEG L D C IPTION %0 PERMIT NUMBER CCC CONSTRUCTION FEE $ ��..... -r 17 . SPEC. INSP. ' SU PP. TO PERMIT ELECTRICAL FEE $ "" �4;r PLAN CHECKER BOND $ BUND CASH PLAN FILE 7t FINAL DATE INSPECTOR PLUMBING FEE $'� 1-/„- ?�Lw YW/ORK TOTAL FEES, THIS PERMIT SHALL BECOME VOID IF IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS CASH CHECK M. o. N. C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA ,COVERING CON - t TRACTORS IS ALSO GUARANTEED. 6 NAME OF CONSTRUCTION LENDER r >` �' r .. _ �' L.•f OWNER CON -TRACTOR BRANCH OFFICE ADDRESS 'ADDRESS t- ADD ESS 'CITY STATE 7�afj NO LENDER INVOLVED AfZ2 INFORMATION 4. TEL. ft -t -TEL. NO. Q 284-208 12/88