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189944 (ELEC)
FIELD OFFICE I PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR QaAJN_ VENT SYSTEM FAN ❑ EVAP. COOL DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE 0 LOT SIZE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI.Sq. 2nd FI. Por. Gar. Car P. Wall WASHER (AUTO) (DISH) Ft. @ NO. Sq. Ft. @ ZONE Sq. Ft. @ FIXTURES Sq. Ft. @ Sq. Ft. @ POLES SIGNS Sq. Ft. @ TRANS. AND/ OR T. CLK. Sq. Ft. @ MOTOR H.P. COMv MUNI Y •' MOTOR H.P. ESTIMATED VALUATION Is n1 MOTOR H.P. OFFICE MECHANICAL FEES FIELD OFFICE I PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR QaAJN_ VENT SYSTEM FAN ❑ EVAP. COOL ❑ HOOD LOT SIZE MOTOR H.P. JOB ADDRESS OWNER y�✓- WASHER (AUTO) (DISH) APPLIANCE ZONE SE OF BUI LDI G - f - FIXTURES PLAN CHECK FEE $Ai GARBAGE DISPOSAL /• FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED COMv MUNI Y •' OUTLETS LAUNDRY TRAY OFFICE AIR HANDLING UNIT �rTisT`fti�'f J��6 SUB -PANEL +5�.S/1R/f�+ �s fPERMIT KITCHEN SINK CONSTRUCTION FEE $40 GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL 189944 NUMBER WATER CLOSET COMPRESSOR .y ELECTRICAL FEE $ ✓� 8� HP I f -74!Z-- j RANGE AND/OR OVEN LAVATORY BOND $ APPLIANCE VENT V FILE V FINAL DATE WATER HEATER PLUMBING FEE $ d<2 SHOWER " ABSORPTION SYSTEM IPLAN D B.T.U. -/ �• -J )- SPACE HEATER TOTAL FEES BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS WATER HEATER RECEIVED BY HEATING SYSTEM4 FORCED ❑ GRAVITY d SERVICE ENTRANCE'' no SEWAGE DISPOSAL BOILER B.T.U. SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO •� yy RESID. 10 SO. FT. v AV HOUSE SEWER / PERMIT FEE TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER ? GARAGE 1C SO. FT. GAS PIPING CONTRACTOR BRANCH OFFICE c ADDRESS PERMIT FEE 04% PERMIT FEE Q© PERIyT REN. DBL. TOTAL FEES 4-7-2 J _. . _�F. It//•V��ENT FEE PLN. CK, FEE ICON.T. FEEELEC. FEE PLUM Ba,FEE �mf J 'oar SET``B''ACK LOT SIZE USE iJ JOB ADDRESS OWNER y�✓- IIqq FI7i✓ ZONE SE OF BUI LDI G - f - DAT(((E PLAN CHECK FEE $Ai __ /• CM KED BY COMv MUNI Y •' VALUATION OFFICE MECHANICAL FEE $ �rTisT`fti�'f J��6 JUNITS +5�.S/1R/f�+ �s fPERMIT CONSTRUCTION FEE $40 G P TYPE LEGAL E CR IPTI ON - 189944 NUMBER SPEC.1 P. SUPP. TO PERMIT .y ELECTRICAL FEE $ ✓� 8� I f -74!Z-- j PLAN CHECKER BOND $ BOND CASH FILE V FINAL DATE INSPECTOR PLUMBING FEE $ d<2 IPLAN / ,,/ +� � -/ �• -J )- 1 LuW , TOTAL FEES $ ' THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMM CED WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORKIN CONNECTION WITH THIS CASH CHECK C.2 M. o. N.C. RECEIVED BY SEWAGE SYSTEM EN PERMIT WILL BE DONE IN ACCORDANCWITH THE LAWS OF RIVER- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO •� yy r LeST CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- / ✓ TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER i OWNER i _ i CONTRACTOR BRANCH OFFICE c ADDRESS ADDRESS ADDRESS CITY STATE 24_3�.i J f �J iI'*`,f (y, 11 vu fes/ �,.)� •� NO LENDER INVOLVED 4-011 INFORMATION 7 jy' � a/y / t J a i ✓ t Al 0 ! /�}�} f ( (ems .{ l y) (�/ Ja s r' If/ /I/...7!- �� I `v%�NIa/.f/rl�f TEL. NO. TEL. NO.. - .4 ff lrk t o/� ,r le rr/y .�c.T,�Jf/�• - r rNO. 0 i84-,1bl LICENSE