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268795 (MECH)
BUILDING PERMIT DEPARTMENT OF BUILDING &SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES ST FL. 2ND FL. POR. GAR. CAR P. WALL -SO. SQ.FT. @ UNITS ' SQ. FT. @ ' SO. FT. @ MOBILEHOME SVC. SQ. FT.. @ SOFT. @ FT. @ TOWER OUTLET x SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ _ COMPRESSOR 0 NOTE: Not to be used as property tax voluotion SWIM POOL„PVT MECHANICAL FEES WJIM POOL. COMM HEATING SYSTEM ❑ FORCED ❑ GRAVITY VENT SYSTEM ❑,FAN ❑ EVAP. COOL O.H006 EIGN AAAPERES SERV ENT APPLIANCE BOILER O B.T.U. FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK . ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER.. WASHER IAUTOI (DISH) GARRAGF DISPO1iAl DST // FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Cl SUSPENDED JOB ADDRESS /� SP NO OWNER IlehlIAMY, LAUNDRY TRAY AIR HANDLING UNIT CFM 755 IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. 76 TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP V POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY COMMUNITY AAAPERES SERV ENT SHOWER BOILER O B.T.U. I VALUATION ISUPP.TOPERMIT SQ FT @ ¢ BATH TUB SQ FT @ ¢ WATER HEATER SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL . SQ FT GARAGE @ 'h¢ HOUSE SEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE Is COPIES $ PtRM1T FEE _ PERMIT FEE 2 PERMIT1,9 687 / TOTAL S !//^/jCJ MOB. HM.FEE MICRO FEE ECH,,,,-E-- p3� '0i DBL. . CK. F ' ILEE CONST. FEE DBL. ELECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J A S 1 O 1 N I D JOB ADDRESS /� SP NO OWNER IlehlIAMY, 74 J✓��/�I1,LA,'6- U4%s 755 USE OF PERMIT �i r� F.C. DATE PE IT O. 8795 76 0i 'y M H PERMIT FEE $ COMMUNITY DST ^ITS ROOMS I VALUATION ISUPP.TOPERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY F S . t !� j�_ 1 % IFINAL -e4l� PLAN CHECK FEE $ BOND AMT. PLAN NO- PLAN CHECKER DATE INS EC OR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER I VOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATUFr= CONTRAC R p((jZ z' --' INSTRUMENTATION FEE i ToH'+N'l . $ ADDRESS ADDRESS FEE RE / • © , 3o YC PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ / / SU,�(%•:.i6 TEL. NO. TEL. NO. LICENSE 3 ._G CASH ❑ CHECK,K M.O. ❑ N.C. Q THIS PERMI- SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA elTIN OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WISH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM • T ILL P AGREE TO CARS Y COMPENSATION INSURANCE. UPON MY EMPLOYEES. COMPLIANCE WITH THI I A kA/C t %C TUC C"ATC (lC (•A I ICn DKII A rr( %ICDIKI(_ rnKITDArTn DC IC A[ (Zn (_I IA DA KITrrn I I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284.208 (Rev. 10-74) OP L HAS DONE SO IA ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE I OF THE STATE CF CALIFORNIA.