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186304 (BLCK)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Por. Gar. Car P. Wall • A Sq. Ft. @ AIR HANDLING UNIT NO. Sq. Ft. @ GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATER CLOSET Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ DRAT SC K.D/ Sq. Ft. @ t. MOTOR H. P. BATH TUB MOTOR H. P. ESTIMATED VALUATION $ WATER HEATER •�� MOTOR H. P. SERVICE ENTRANCE MECHANICAL FEES -T ­ FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. WASHER (AUTO) (DISH) APPLIANCE FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET COMPRESSOR �HP RANGE AND/OR OVEN - LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER B.T.U. RESID. IT SQ. FT. HOUSE SEWER PERMIT FEE GARAGE zQ SQ. FT. GAS PIPING - ' PERMIT FEE PERMIT FEE P1 R T U B y REN. DBL. TOTAL FEES HEAT & ;VENTFEEIPLN. CK. FEE CONST. FEE IF I.n I n Ic ELEC. FEE �PLUMB, I r. I SET BACK LOT SIZE USE 9 JOB ADDRESS OWNER i F S R } ..yL ZONE -F USE -CF B LII IN ('� ti . A T E PLAN CHECK FEE $ i'fS 114 6 .,b 4 w Al C ECKEO'BY M M MIU Nq TY ISIT R 1 T' T.C. VALUATION OFFICE MECHANICAL FEE $ JUNITS ^'g A..!2 1'PE LEGAL E It 10 ' PERMIT NUMBER CONSTRUCTION FEE $ :.^" /�, 1 ., "" - _ - 86304 . SPEC. INSP. SUPP. TO PERMIT ELECTRICAL FEE $zw ' �. PLAN CHECKER OND $ BON CASH PLAN FI L`E #"" "INA DA T7E INSPECTOR PLUMBING FEE $ I l.' 3�-/D g- - CL4 tet,, TOTAL FEES Ao 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 THIS '. CASH CHECK M. o. N. C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER— SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO �6 r LLP CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI— ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON— r ,�-- - TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER CONTRACTOR BRANCH OFFICE j .....••^, �" t O T .a ,t r, s,.. ✓! ADDRESS ADDRESS - CITY STATE - �- w NO LENDER INVOLVEDuf - INFORMATION TEL. NO. `TELL. NO. _ C E N S'Ll 7k ' 284-208 12/68t 1(y; 101