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248492 (SPIN)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SQ.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTFAA fl FAN fl FVAP_ COOT. n HOOD DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER SOFT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ PERMIT FEE PERMIT FEE P R T N TOTAL FEE MOB. HM. FEE MICRO FEE MECH. FEE DBL PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE F PLUMB. FEE DBL. i� - J - F I M A I M I a J 1, A I $ 1 O N D JOB ADDRESS _ _ i SP NO OWNER 73 74 USE OF PERMIT,. / F.C. I DATE , `A5—.^- P MI O /� 24,8492 75 D 11 �- s.<1;(-�&l M H PERMIT FEE $ C_ MMUNITY DST UNITS ROOMS VALUATION SUP. TO PERMIT OFFICE •cji •. vt� I �JU `! L� � ..� MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK5� LOT SIZE ZONE USE NO. GRP TYPE CK BY •. F 5. RtJ9 �� PLAN CHECK FEE $ BORD AMT. PLAN NO. PLAN CHECKER FINAL DATE INSP OR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOtOD ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA• TION 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 ALSO �,G $ FEE AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMP ANCEWITH THE U LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUA NTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE,PCANS D SPECIFICATI S PLUMBING FEE DBL $ HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF TH USiNES$ AZ PROFESSION ODE OF THE STATE OF CALIFORNIA. „k , +off TOTAL FEES OWNER/AGENT'S SIGNATURE CO+NN'ErTO•R'� /. 400 7 CASH ❑ CHECK 9, M.O. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY TREES R1=QUIRED 2 ! j CITY ZIP CODE CITY ZIP CODE SEWAGE SYSTEM T LL P _ I5; INFORMATION Q TEL. NO. TEL. NO. LICENSE FORM 284 208 (Rev 9.73)' ©s _ 4 a.