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188616 (CPWU)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 9 is APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Par. Gar. Car P.. Wall .r Sq. Ft. @i "` NO. Sq. Ft. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL Sq. Ft. @ WATER CLOSET Sq. Ft. @ POLES Sq. Ft. @ SIGNS Sq. Ft. @ 0RAT SCLK.D/ Sq. Ft. @ MOTOR H. P. BATH TUB MOTOR H.P. ESTIMATED VALUATION Is WATER HEATER MOTOR H. P. SERVICE ENTRANCE MECHANICAL FEES` r e 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) i 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 �.J B.T.U. RESID. iC SQ. FT. HOUSE SEWER PERMIT FEE - GARAGE zQ SQ. FT. GAS PIPING PERMIT FEE PERMIT FEE P R 8TAU8 ^ REN. DBL. J]I� FEES MEAT & VENT FEE PLN. CK. FEE CONST. FEE EL L6 '� -E, ..y„ J>.F_ M��-�.. A��...5. I F PLUMB. FEE --I.N D _.- SEAT LOT SIZE USE 0 JOB ADDRESS OWNER. ' J .B.AACC+K� ZONE USE OF BUILDI G v DAT PLAN CHECK FEE $ 4L! !'UNITS CHECKED BY COMMU TYr drDISTRI VALUATION O C MECHANICAL FEE $ �• y '� GROUP 11 TYPE LE AL r`E5CR1TION Y - PERMIT NUMBER CONSTRUCTION FEE $ .� 1 ' 18 8 616 SPEC. INSP. '" '` SUPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ EVOND -CASH' PLAN FILE tt F D INSPECTOR PLUMBING FEE $ / '�4 I %-/�•7r ' TOTAL FEESr $ 5 THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMME ED (/ WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL LSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS ' C ASH. CHECK M.O. N. c. RECEIVED A SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- IT SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO �..' LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - TRACTORS IS ALSO GUARANTEED. NAME OF CO STRU CTION LENDER BRANCH OFFICE OWNER f� 1 / \ CONTRACTOR ADDRESS .tet CITU STATE ADDRESS j F �'���i�`% ADDRESS NO LENDER INVOLVED INFORMATION � fy•" " (1......%�-./....mss .J•'C...�'�� TEL. NO. TEL. NO, 284-208 12/88 LICENSE NO.