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272498 (SATT)BUILDING PERMIT DST{ DEPARTMENT OF BUILDING & SAFETY NO. PLUMBING -FEES COUNTY OF RIVERSIDE USE OF PERMIT BAR SINK FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED ROOF DRAINS CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES I ST FL. �i� SQ.FT., @�/ CAU - f .�!!y ^^-- ' UNITS ' 2ND FL. WATER PIPING SQ. FT. @ KITCHEN SINK POR. ' SQ. FT.- @ / y 1 6' U MOBILEHOME SVC. GAR. Z Li Sq FT @ ; /} . j POWER OUTLET CARP. SO.Fl. @ WALL SQ. FT. @ SO. FT. @ ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used CIS property tox voluotion SWIM POOL, PVT MECHANICAL FEES SWIM POOL.'COMM VENT SYSTEM r73,FAN ❑ EVAP. COOL ,@ HOOD % SIGN FIELD OFFICE J I F I M A I M I J I J A I S 1 O 1 N I D DST{ OWNER NO. PLUMBING -FEES YARD SPKLR SYSTEM USE OF PERMIT BAR SINK FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED ROOF DRAINS DRAINAGE PIPING LAUNDRY TRAY DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN KITCHEN SINK ' WATER SOFTENER • WASHER IALrT01 IDISHI...• J I F I M A I M I J I J A I S 1 O 1 N I D APPLIANCE OWNER GARBAGE DISPOSAL USE OF PERMIT F.C. FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED P M n LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK M H PERMIT FEE ABSORPTION SYSTEM. B.T.U. TEMP USE PERM SVC :;t- WATER CLOSET - VALIATION COMPRESSOR � HP 41 POLE, TEMP/PERM -2 LAVATORY L fwd HEATING SYSTEM X FORCED .❑ GRAVITY d AMPERES SERV ENT J'' SHOWER ; COPIES BOILER � B.T.U. SQ FT @ C la BATH TUB S ars 77 i / MECHANICAL FEE DBL SQ FT @ a / WATER HEATER 490 USE NO, GRP SQ FT RESID @ la ,' " SEWAGE DISPOSAL / !> .."'. ? SQ FT GARAGE @ 'ha HOUSE SEWER ySBACK F✓Z.,h R PLAN CHECK FEE PERMIT FEE .� BOND AMT. TN NO. GAS PIPING Flt- L AT r MOBILE HOME PERMIT FEE $ EC R I CONSTRUCTION FEE PERMIT FEE `9 PERMIT FEE �� a E IT O. TOES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I CONST. FEE DBL. ELECT. FEE I DBL. I SMI FEE - FEE PLUMB I DBL. J I F I M A I M I J I J A I S 1 O 1 N I D JOB ADDRESS SP NO OWNER 75 USE OF PERMIT F.C. DATE P M n M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALIATION SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL D SCRIPTION la ars 77 i / MECHANICAL FEE DBL $ SET LOT SIZE ZONE USE NO, GRP TYPE CK BY !> .."'. ? ySBACK F✓Z.,h R PLAN CHECK FEE $ BOND AMT. TN NO. PLAN CHECKER Flt- L AT r INSp EC R I CONSTRUCTION FEE DBL $' NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INV LVED , ELECTRICAL FEE DBL $ �g' ADDRESS CITY STATE rr STRONG MOTION $ OWNER/AG VT' ;SIGNA`TIlRES j ( CONTRACTOR INSTRUMENTATION FEE $ ADDRESS ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES TEL. NO. TEL. VO. LICENSE CASH ❑ CHECK M.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. RECEIVED eye{ TREES REQUIRED %�'� ' sf I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- CORDANCE WITH THE LAWS OF RIVERSIDE COUVTY AND THE STATE OF CALIFORNIA, I ALSO SEWAGE SYSTEM T LL P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE �•.,�sl,�T��T,.r.-r,.-.-,.�1,,,.„.-.,..�.,..l-l--,..r.,,,�T;��� � ,.,.-,..-.,,,.,..r.-�.. I HEREBY CERTIFY THAT -THE INDIVIDUAL WHO PREPAREDTHEPLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.