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272671 (SFD)BUILDING PERMIT APPLIANCE DEPARTMENT OF BUILDING & SAFETY 74 GARBAGE DISPOSAL COUNTY OF RIVERSIDE F.C. DATE PEI FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O SUSPENDED R CONSTRUCTION ESTIMATE LAUNDRY TRAY NO. ELECTRICAL FEES 1ST FL��% SO.FT. @J i �—' ' .)E'er � U UNITS 2ND FL. KITCHEN SINK SO. FT. @ OFFICE ABSORPTION SYSTEM POR. / f -F 50. FT. @ {.b Q MOBILEHOME SVC. GAR COMPRESSOR c� — e {~C.% POWER OUTLET CAR P. WALL SO. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used as property tax voluation SWIM POOL, PVT MECHANICAL FEES SWIM POOL. COMM VENT SYSTEM O FAN ❑ EVAP. COOL (HOOD SIGN FIELD OFFICE { DST NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING -FOUNTAIN URINAL WATER PIPING (� FLOOR DRAIN I WATER SOFTENER WASHER (AUTO)IDI'SFIr _i J I F I M A I M I J I 1 A 1 $ -O 1 N I D APPLIANCE ! 1—S' -,a, , ,mss /0 f) 74 GARBAGE DISPOSAL USE OF PERMIT F.C. DATE PEI FURNACE ❑ UNIT ❑ WALL ❑ FLOOR O SUSPENDED J LAUNDRY TRAY $ AIR HANDLING UNIT CFM IDLE METER ROOMS KITCHEN SINK SUPP. TO PERMIT OFFICE ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET UU COMPRESSOR HP 'fj POLE, TEMP/PERM LAVATORY , y� $ HEATING SYSTEM A FORCED ❑ GRAVITY 67,rl AMPERES SERV ENT G�" p0 0 SHOWER � Ff %( 7 !:. .r A +F^+. %i ! / �� J .G. f_/ f Y7•% uI� MECHANICAL FEE BOILER B.T.U. $ SQ FT @ ¢ j BATH TUB USE NO. GRP TYPE SQ FT @ ¢ WATER HEATER Lf i SQ FT RESID )i t`f SEWAGE DISPOSAL PLAN CHECK FEE $ SQ FT GARAGE @&c ¢ E/ PLAN NO. HOUSE SEWER FINAL DATEIySRECTOR PERMIT FEE fj GAS PIPING OL} MOBILE HOME PERMIT FEE Is CONSTRUCTION FEE PERMIT FEE IJ U 1 PERMIT FEE C 1.0 R IT O.% TOTAL FEES,. -MOB. HM.FEEMICB.CLFEE /tizq MECH. FEE I DBL. PL. CK. FEE CONST. FEE DBL. i ELECT. FEE I DBL. SMI FEE FEE PLUMB. FEE IDBL. J I F I M A I M I J I 1 A 1 $ -O 1 N I D JOB AD/DRESSSP NO OWNER 74 75 USE OF PERMIT F.C. DATE PEI J M H PERMIT FEE $ COMMUNITY / DST UNITS ROOMS VALUA' ION SUPP. TO PERMIT OFFICE I MICROFILM FEE COPIES $ LEGAL DESCRIPTION Ile • i.f / l./`'.•"� Ff %( 7 !:. .r A +F^+. %i ! / �� J .G. f_/ f Y7•% uI� MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY. PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATEIySRECTOR l- - l//�Ot�1�13- (f CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFICE NO LENDER INVOLVED /tizq ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATURE yr v c' N Rd00 -r• C7 INSTRUMENTATION FEE / /� < (�iJ✓P $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ � TEL. NO. TESL, NO LICENSE CASH ❑ CHECK t6lM.O. ❑ N.C. 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 COUNT`' AND THE STATE OF CALIFORNIA, I ALSC RECEI ED Bl( TREES REQUIRED SEWAGE SYSTEM T/ AA 4 LL) AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) &L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE OF CALIFORNIA.