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268210 (AR)
BUILDING PERMIT DEPARTMENT OF BUILDING &SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES IST FL. SOFT. @- ^� .UNITS -411 TPL F'Mat� SQ. FT. @ POR. SO. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT.. @ WALL SQ.•FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION . $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHFR (At ITni miSH1 1, APPLIANCE ADDRESS_ ,_.. .... .... _ ._ sF NO - yid �E _._. .. __ .._ .._. _.__.. [OWNER sus 74 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED 75 USE OF PERMIT / %O�,r �r;'1! per/ LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER Hop KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR L� HP POLE, TEMP/PERM UNIT9 LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT OFFICE SHOWER BOILER � B.T.U. SQ FT @ ¢ BATH TUB SQ FT @ a WATER HEATER MICROFILM FEE COPIES 03 SQ FT RESID @/ O SEWAGE DISPOSAL SQ FT GARAGE @ '/art HOUSE SEWER R PERMIT FEE DBL $ GAS PIPING MOBILE HOME PERMIT FEE Is USE NO. PERMIT FEE v PERMIT FEE 2 PERt�1T �0.� 6 8 2 TOL` FEES _ MOB. HM.f EE MICRO FEE MECH. FEE DBL. CK. FEE V CONST. FEE ip DBL. ELECT. E DBL. SMI FEE PLUMB. FEE DBL. _.JOB J I F I M A M I J I J I A I S 1 O N I D ADDRESS_ ,_.. .... .... _ ._ sF NO - yid �E _._. .. __ .._ .._. _.__.. [OWNER sus 74 �9 h'q LLi ik 75 USE OF PERMIT / %O�,r �r;'1! per/ F.C. DATE /� 2 PE$ ITT 0. O �� 76�71� Hop - �- Js M H PERMIT FEE $ COMMUNITY DS7 UNIT9 ROOMS I VALUATIONSUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION cov MECHANICAL FEE • DBL $ SETBACK LOT SIZE • �ZONE USE NO. GRP TYPE CK BY I S S- IR F 1 �1 pawl s 10 PLAN CHECK FEE $ BOND AMT. PLAN, NO. PLAN CHECKER FINAL DATE INSPE OR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLV D ELECTRICAL FEE DBL $ /_ ryry ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE CONTRACTOR `1 INSTRUMENTATION FEE .?� Ch / &)h Tc Ze /we. $ ADDRESS ADDRESS FEE 73-7©e�• j PLUMBING FEE DBL $ CITY `ZIP CODE CITY ZIP CODE ?Wov pcSCe% di+ TOTAL FEES $ / ! TEL. NO. TEL. NO. LICENSE r 3l�. ,Oat _,LICENSE CASH ❑ CHECK M.O. ❑ N.C. ❑ 'Y-- THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA LY" TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED / j C I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL IBE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM � T LL P AGREE TO CARRY COMPENSATION'INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI ITC I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rem. 10-74) ©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.