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176644 (ELEC)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 APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Par. Gar. Car P. Wall l OUTLETS Sq. Ft. @ AIR HANDLING UNIT NO. Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATER CLOSET Sq. Ft. @ POLES Sq. Ft. @ R SIGNS Sq. Ft. @ TRANS. AND/ OR T. ELK. Sq. Ft. @ MOTOR H.P. BATH TUB ' MOTOR M.P. ESTIMATED VALUATION $ WATER HEATER MOTOR H.P. SERVICE ENTRANCE MECHANICAL FEES _ .. _ FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL v++ KITCHEN SINK - GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL UO. AZ WATER CLOSET COMPRESSOR �HP ANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM O B.T.U. SPACE HEATER BATH TUB ' INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER B.T.U. RESID. 10 SO. FT. HOUSE SEWER PERMIT FEE GARAGE iQ SO. FT. GAS PIPING - i PERMIT FEE t� PERMIT FEE ' —P�NIIyLT�L REg REN. DBL. IT�AL FEES HEAT 8 VENT FEE(PLN. CK. FEE (CONST. FEE •�.-- J- l(h�_, 4.. .-c �•-�_- - -" M_ _..__.--..I A......+�+-.1. ELEC. FEE PLUMB. FEE SET BACK LOT SIZE USE # - JOB OWNER IS F IR .rAArDDRESSO ZONE USE OFBUILDING DATE PLAN CHECK FEE $ l_QS� t;, CHECKED BY "COMMUNI'Y DISTRICT F.C. UNITSj'V*Ar.LUATN OFFICE MECHANICAL FEE $ _-77104-L - P TYPE EGAL DESCRIPTION, PERMIT NUMBER CONSTRUCTION FEE $ + 76644 SPEC. INSP. t • w rr SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ BOND CASH FINAL DATE INSPECTOR PLUMBING FEE $ IPLA7N-F-(LY-# 7o TOTAL FEES s THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED j WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO •i CAUSE PERMIT TO BECOME VOID. i 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 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- TRACTORS IS ALSO GUARANTEED. N AME'OF CONSTRUCTION LENDER OWNER CONTRACTOR BRANCH OFFICE y 1 ADDRESS T 1'�•s�lf d .!% E _ A'GDRESS_ A O S CITY STATE o NO LENDER INVOLVED 4zG� INFORMATION I 1 L TEL. NO. TEL'. NO.- ?84-208 284-208 12/88 IENSE/ -/ V .;1 &