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303915 (RPL)
BUILDING PERMIT PERMIT NO. -----j 303915 MECHANICAL FEES DEPARTMENT OF BUILDING t& SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1ST FL. 2ND FL. - POR. GAR. CAR P. . WALL ESTIMATED CONSTRUCTION SQ. FT. Q SQ. FT. $ UNITS SQ, FT. Q MOBILEHOME SVC. SQ. FT. Q POWER OUTLET SQ. k, SQ. FT. Q SQ. FT. @ FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED VALUATION $ 'LAUNDRY TRAY NOTE: Not to be used as property tox valuation $ SWIM POOL. PVT i w FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER PERMITNO. VENT SYSTEM 0 FAN 0 EVAP. COOL 0 HOOD SIGN WASHER (AUTO)((DISH) APPLIANCE 0 DRYER Community Valuation Dote ,.. Dist. GARBAGE DISPOSAL FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED OO 'LAUNDRY TRAY MH Permit Fee $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Micro Film fee Cop $ ABSORPTION SYSTEM � B.T.U. TEMP USE PERMIT SVC WATER CLOSET �Mech. Fee Dbl $ COMPRESSOR � HP POLE, TEMP/PERM LAVATORY Pl. Ck. Fee $ HEATING SYSTEM 0 FORCED 0 GRAVITY AMPERES SERV ENT SHOWER . Dbl $ .O BOILER B.T.U. SQ. FT. @ ¢ BATH TUB Dbl $ �'” V one Grp a Unit SQ. FT. @ ¢ WATER HEATER $ SQ. FT. RESID Q 1 IAA SEWAGE DISPOSAL Obl $Bond 49Inspector Amt. Plan No. - Plan hecker p31ote- SQ. FT. GAR Cal 1/4 it HOUSE SEWER $$(% y ,Demol. Fee GAS PIPING zen, lender Branch - 'I certify that in the performance of i work for which this permit is issued I shall PERMIT FEE $ PERMIT FEE 0 PERMIT FEE to theworkmen s com- Mileage Fee DBL. TOTAL FEES 9 MOB. MM. FEE MICRO FEE MECH. FEE • PL. CK. FEE ._-- CONST..FEE qct CT: FEE SMIFEE O ca FEE �.•-- UMIB. FEE ca PERMITNO. Supp. Permit Job Address Space Zip Owner { Community Valuation Dote ,.. Dist. Off. F.C. OO MH Permit Fee $ i[ p^'-'"' _ y.., t„ - 4PU RCk.by Micro Film fee Cop $ Use of ermir Parcel No. Use No. �Mech. Fee Dbl $ t -7, 301- - `D 0 Z Pl. Ck. Fee $ © Set Backs Lor Size r Construction Fee Electrical Dbl $ .O Legal'Descnption G f� _ F S S + /7 - Q o 0 � Fee Dbl $ �'” V one Grp a Unit SMI Fee $ Plumbing Fee Obl $Bond 49Inspector Amt. Plan No. - Plan hecker p31ote- Sp. Insp. Fee $$(% y ,Demol. Fee $Const: lender Branch - 'I certify that in the performance of i work for which this permit is issued I shall �Registr. Fee $ - - not emptoy any person in any manners s to become subject pensation tows of California ' , to theworkmen s com- Mileage Fee $ ddress City Zip re - Owner Signoro4 se . Witness Fee -$. Buifder S,anoture •Reinsp. Fee $ Owner/Agent Tel. Zip (Total Fees$ 1 70ddress _ Ciry Zip M.O. 0 N.C. 0 Cash C1 Creickj;�_f-j� Received by Contractor Tel.'License N .Trees requir " .Sewage System AddW City Zip Workers' Comp. _ .. li?Mpip Mo. okd C%•' !- yes no 0 T LL P THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF .errf:ed by Sewer District 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 q -..WITH THE LAWS OF RIVERSIDE COUNTY AND YHE STATE.OF CALIFORNIA. 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 OF THE STATE OF For. 284.2081Rev. 4771 ©s CALIFORNIA.