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242891 (SATT)
BUILDING PERMIT CONSTRUCTION ESTIMATE r I ST FL. s. 'r SOFT. @j. + — �- .2ND FL. SQ. FT. @ POR. SQ. FT. @ rEy" GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL. SQ. FT. @• HEATING SYSTEM FORCED ❑GRAVITY 'el vot AMPERES SERV ENT SHOWER ESTIMATED CONSTRUCTION VALUATION $ " NOTE: Not be used as property tax valuation MECHANICAL FEES )EPARTMENT OF BUILDING & SAFE �• COUNTY OF RIVERSIDE NO. ELECTRICAL FEES f� 4�} 4.r.' UNITS MOBILEHOME SVC. �j POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM FIELD OFFICE NO. PLUMBING FEES BOILER � B.T.U. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD -3 rO SIGN WASHER IAUTOfjDISHI APPLIANCE "y fa GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR Cl SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM s 0 B.T.U. .TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP l2f �� POLE, TEMP/PERM LAVATORY j) HEATING SYSTEM FORCED ❑GRAVITY 'el vot AMPERES SERV ENT SHOWER SQ FT @ a BATH TUB s SQ FT '@ a WATER HEATER I 5-4) SQ FT RESID @ 1,1 . !T � s0 SEWAGE DISPOSAL SQ FT GARAGE @ HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE �f PERMIT FEE e9 (;I PERMIT FEE �• �� PERMIT NO. T FEES . HM. FEE MICRO FEE MECH. FEE {ADDRESS DBL. PL. CK. FEE ;.l CONST. FEE - DBL. ELECT. FEE. • DBL. SMI EE FEE PLUMB. FE t1 IDBL J I F I M A I M I J I A I S 1 O- N• D JOB // ] I SP NO y g " l�j.;7 i0 ii/.�. `J� r�f gi 6 I OWN/ERR3 �3 A l .f'���t-..u' I7 7 3 74 USE OF PEERRMIT r ,mss 040/ F.C. DATE ! j �f P MIT NO. -M H PERMIT FEE $ COMMUNlyy DSTUNITS ROOMS VALUATION flO SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION jQ MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP '. TYPE CK BY PLAN CHECK FEE $ BOND AMT. PLAN NO: PLAN CHECKERFINAL DATE . INSPECTOR CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ J ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 1.20 DAYS. CESSA- TION OF WORK FOR 120 -DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. -1 HEREBY AGREETHAT 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 LSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARE PLANS D SPECIFIS',ATIO�pJS• HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF T I E NS CODE OF THE STATE'OF CALIFORNIA. / - FEE $ PLUMBING FEE DBL $ ` TOTAL FEESGf OWNER/AGENT'S SIGNATURE CON ✓ r,4 if73 vfD�w CASH [3 HECK M.O. ❑ N.C. ❑ ADDRESS ADDRESS i RECEIVED BY , TREES REQUIRED SEWAGE SYSTEM ��v� LL P ' i CITY ZIP CODE CITY t ZIP CODE i�fi` y,,,• 4 !J A*Ird�i� r INFORMATION FORM 284-208 IRm 9.731 ©s TEL. NO. TEL. /NO.//J� - LICENSE / -� �jr_1 `�' �� .4�lr,/