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179173 (SIGN)PE FIELD OFFICE i PLUMBING FEES NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENFR VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE • WASHER (AUTO) (DISH) CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Par. Gar. S Car P. Wall GARBAGE DISPOSAL Sq. Ft. @ OUTLETS NO. Sq. Ft. @ AIR HANDLING UNIT Sq. Ft. @ it - Sq. Ft. @ - POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT.SCLK O/ Sq. Ft. @ MOTOR H.P. ge MOTOR H.P. ESTIMATE 'VALU TI N .— is ivy% MOTOR H.P. ABSORPTION SYSTEM D B.T.U. MECHANICAL FEES MOTOR R.P. PE FIELD OFFICE i PLUMBING FEES NO. DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENFR VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H.P. WASHER (AUTO) (DISH) APPLIANCE FIXTURES JOB ADDRESS Jq OWNER II , GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS F.410 LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL ZONE WATER CLOSET COMPRESSOR OHP RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER COMMUNITY BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL _ BOILER B.T.U. RESID. 1Q SO. FT. HOUSE SEWER PERMIT FEE GARAGE iQ SO. FT. GAS PIPING *rfvE PERMIT FEE �7 L/ PERMIT FEE NUMBER �v REN. JDBL, TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. FEE 91 i .r�' vv vc� ELEC. FEEr� PLUMB. �--- O N [ SET BACK LOT SIZE USE 4 JOB ADDRESS Jq OWNER II , 1P F.410 R .f ZONE StOF BUI D DATE PLAN CHECK FEE —j -`'. A7 - CHECKED BY COMMUNITY "DISTRICT F.C. UNITI'IALUA'TION OFFICE MECHANICAL FEE $ 'fes l`�^ wT I r It P *rfvE LEGAL DE` CRIPTION PERMIT NUMBER CONSTRUCTION FEE $ 0� L' `�.. E,7, . 179173 ELECTRICAL FEE $ SPEC. INSP. [ -5,40, a.t „", 4930 U - 7-5,40,v SUPP. TO PERMIT PLAN CHECKER BOND $ BOND I CASH PLAN FILE 0 FINAL DATE INSPECTOR PLUMBING FEE $ , TOTAL FEES THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THRS CASH CHECK M. o. N.C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVEP_- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE T:) T LL - P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPL--- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING COF- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER BRANCH OFFICE OWNER - CON- TRACTOR ,. j:�! .PC h�'� y k.d �. �� .04."..-i •.-� a, d ,,n, ADDRESS ADDRESS ADDRESS CITY STATE '•'<:? ? [,! �':/ «_/.« f NO LENDER INVOLVED /� t INFORMATI f TI +' I -- TEL. NO. TEL. NO. n LICENSE NO. 284-208 12/8 B