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248518 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING &SAFETY FIELD OFFICE Ah COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE I ST FL. 2 2E V 2 SQ:FT. 2ND FL. SQ. FT. @ POR. ��U SO. FT. @ l� GAR. SQ. FT. CAR P. SO.FT. @ WALL SQ. FT. @ SOFT @ ¢ I BATH TUB ! y7 SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax voluotion SQ FT GARAGE @ 'ha HOUSE SEWER MECHANICAL FEES PERMIT FEE ezq TEMP ELEC SVC GAS PIPING VFNTSYiTFM irXlrAN n FVAP_ COOL MHOOD NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN NO.IPLUMBING FEES BOILER I I B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING 4± FLOOR DRAIN WATER SOFTENER WASHER(AUTO&I$HI APPLIANCE f 4 r.- !"00 GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK �J ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET y ' COMPRESSOR 0 HP f D POLE, TEMP/PERM LAVATORY m ,per HEATING SYSTEM FORCED ❑GRAVITY' x)07 AMPERES SERV ENT SHOWER .a Q a SOFT @ ¢ I BATH TUB ! y7 SQ FT @ ¢ �* WATER HEATER SOFT RESID @ la SEWAGE DISPOSAL J�7 C3 d SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE ezq TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE $ , PERMIT FEE PERMIT FEE C7v �l 8 .) _/ r. tiOTAL FEES T24"T �'• p � �? MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEEj.° CONST. FEE DBL. ELECT. FEE DBL. SMI F`EEp / J � FEE PLUMB. FEE 400. � � .0 DBL J F MA M I J IJ A I $ 1 Q 1 N D JOB A�DjDRESS'? / I SP NO p ' ��7 Q f.. �i //�, <. f . "� 4/le I OWN9R �, _ * r- A � LC? l (' / f..�✓ . I 73 74 USE OF P/ERMITe r a"4 F.C. DATE q Tz 1 75 M H PERMIT FEE $ COMMUNITY DST i� I UNITS ROOMS VALUATIONSUPP. ��37 — TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE' DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE �lKBY,,, yy vv PLAN CHECK FEE $ j BOND AMT. PLAN NO: PLAN CHECKER - INSP�O/ FINAL DATE 25 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER 4 BRANCH OFFICE NO LENDER INVOL El ELECTRICAL FEE DBL $ ADDRESS/ clr STAT 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 AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE -OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. t[:ANS ANA SPECIFICATIONS HAS DONE O IN ACCORDANCE WITH SECT CERTIFY THAT THE INDIVIDUAL ON 55A-'- 7F j QY� I�WHO PREPARED pdE�54ND PESSIONS CODE OF THE STATE OF CALIFORNIA. j f FEE $ PLUMBING FEE DBL $ TOTAL FEES � ll OWNER/AGENT'S SIGNATURE CONTRACTOR 7— V CASH ❑ CHECK M.O. ❑ N.C. ❑ t ADDRESS ADDRESS / RECEIVED BY TREES REQUIRED SEWAGE SYSTEM4 T f � LL P l X c? CITY ZIP CODE C ZIP CODE y.n O i."��, : J 2 2 -- INFORMATION FORM 284.2081Rev. 9.73) ©5 TEL. NO. TEL. NO. LICENSE �+