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341276 (SATT)BUILDING PERMIT + DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMIT NO. 34127 PERMITNO. COUNTY OF RIVERSIDE - 341276 L DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Micro Film Fee Cop $ NO. PLUMBING FEES, Parcel No. 15T FL. SQ. ,2ND FL: ,POR. GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION FT. Q It UNITS' W w f ' • ' SQ. FT. (a3 YARD SPKLR SYSTEM PI. Ck. Fee S SQ. FT. MOBILEHOME SVC. ' BAR SINK F POWER OUTLET ROOF DRAINS FT. Q' -onsrruction Fee `/ D $ SQ. FT. (ai DRAINAGE PIPING F SQ. FT. Q DRINKING FOUNTAIN S SQ. FT. Ca3 T URINAL Electrical Fee E VALUATION $ . ' WATER PIPING ' Z ne NOTE: Not to be used as property tax voluotion SWIM POOL, PVT Unit FLOOR DRAIN $MI Fee MECHANICAL FEES . SWIM POOL, COMM WATER SOFTENER • Plumbing Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN } WASHER (AUTO) (DISH) Inspector APPLIANCE ❑ DRYER b GARBAGE DISPOSAL ^(' FURNACE . ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED )emol. Fee $ Const. Lender Branch 'I certify thatin the performance of the work for which this permit is issued I shall LAUNDRY.TRAY not employ any person in any manner so as to become subject to the .workmen's "com. Registr. Fee $ AIR HANDLING UNIT CFM IDLE METER Address City - Zip Owner Stgnawre KITCHEN SINK Builder Signature Reinsp. Fee $ ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET fatal Fees $ COMPRESSOR 0 HP POLE, TEMP/PERM ` M.O. ❑ N.C. ❑ Cash LAVATORY- AVATORY.HEATING HEATINGSYSTEM' ❑ FORCED ❑ GRAVITY AMPERES SERV ENT Received by SHOWER Tel. License q - BOILER B.T.U. SQ'. FT. BATH TUB Sewage System Address Cit ' Y �Zip Workers' Comp. SQ. FT. Q ¢ • T WATER HEATER hewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. i• c SQ. FT. RESID 8 1 1/.¢ SEWAGE DISPOSAL I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SQ. FT. GAR 3/.¢ Form 284-2081Rev. 4.77) ©s HOUSE SEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL j TOTAL FEES 4$� MOB. MM. FEEJ -MICRO FEE MECH. FEE - PL. CK.'FEE sb -;, r CONST. FEE ELECT. FEE / SMI FEE FEE PLUMB. FEE PERMITNO. Supp. Permit Job Address - Space Zip Owner 341276 L communityr oluation Date Dist. f. F.C. MH Permit Fee $ � $ , +Ck.by Micro Film Fee Cop $ Use of Per it - Ae Parcel No. Use No. Mech. Fee D E W w f ' • ' PI. Ck. Fee S •mss r cks Lot Size srJ - D0 -onsrruction Fee `/ D $ _ egal Descripnon F S_ S R Electrical Fee E Z ne GrP TYP- Unit $MI Fee • Plumbing Fee E Bond A4 . Plan No. Plana/ -y/ Final Dote ° Inspector $p. Insp. Fee E b ^Checker/ ^(' )emol. Fee $ Const. Lender Branch 'I certify thatin the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the .workmen's "com. Registr. Fee $ pensation laws of California.' Mileage Fee $ Address City - Zip Owner Stgnawre Witness Fee $ Builder Signature Reinsp. Fee $ Owner/Agent - ) Tel. Zip 60 fatal Fees $ 11 Address _ City Zip ` M.O. ❑ N.C. ❑ Cash —Ch ec - ,." Received by Contractor Tel. License q - ITrees require Sewage System Address Cit ' Y �Zip Workers' Comp. yes ❑ no ❑ • T P THIS PERMIT SHALL BECOME VOID IF WORK ISNOT COMMENCED WITHIN 120 DAYS. CESSATION OF ver.fied by: hewer District WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. i• c `ITI HEREBY AGRJg W(O IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE \ _ H THE LAWS OE _ E STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO N ACCORDANCE WITH SECTION' 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE' OF " Form 284-2081Rev. 4.77) ©s CALIFORNIA. - - -