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189991 (MECH)NO. 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 . . 0 0 APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES 1st FI. 2nd FI. Par. Gar. Car P. Wall OUTLETS 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. @ TRANS. AND/ OR T. CLK. Sq. Ft. @ l: MOTOR H. P. BATH TUB , MOTOR H. P. ESTIMATED VALUATION is WATER HEATER MOTOR H. P. SERVICE ENTRANCE MECHANICAL FEES e NO. 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 I FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT SUB -PANEL KITCHEN SINK I GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET COMPRESSOR w HP V RANGE AND/OR OVEN LAVATORY APPLIANCE VENT WATER HEATER SHOWER ABSORPTION SYSTEM 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. RE5ID. 1Q SQ. FT. HOUSE SEWER PERMIT FEE ? GARAGE pQ SQ. FT. GAS PIPING Y PERMIT FEE PERMIT FEE AIT NUMBER REN. DBL. TOTAL nnnnA J IF M Ic HEAT .- 11 VENT FEE I PLN, CK, FEE CONST. FEE ELEC. FEE PLUMB. FEE J J J SET BACK LOT SIZE USE A JOB ADDRESS IR JOWNER//jf} ZONE USE OF BUILDING DATE PIAN CHECK FEE $ W.. _ - •".�- 9 /rte /UNITS +Vre� CHECKED BY OMMUNITY ISTRICT F.C. VALUAYION• OFFICE I MECHANICAL FEE $ _i-•„ Y GR UP lrYPE LEGAL DESCRIPT ON t A t � PERMIT NUMBER CONSTRUCTION FEE $ I .I /_✓'' A• •-e .v ,l { 8 9 9 , SPEC. INSP. \ SVPP. TO PERMIT ELECTRICAL FEE $ PLAN CHECKER BOND $ BOND CASH PLAN FILE # I D T INSPECTOR PLUMBING FEE $ I /-�•�� 1 II Ir lbb1��VVW,KKC..• FEES / LEOTOTAL ERMIT WITHIN 60IS CL DAYS. SCESSAT CEHALL SSATION WORK ME VOID I FOR WORKIS DAYS SHALL ALSO 9 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 T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - NAME OF COk�NSTRUCTION LENDER TRACTORS IS ALSO GUARANTEED. i OWNER _ CONTRACTOR BRANCH OFFICE P``"//�%,o� ADDRESS //://.-'(.,!•I _.�,'• ADDRESS ADDRESS/ ^' I CITY STATE NO LENDER INVOLVED INFORMATION r TEL. NO. TEL. -/ 3 /NO. LICENSE NO. ¢ 284-208 12/8 . c -/, t