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205780 (MECH)
BUILDING PERMIT , SIGN DEPARTMENT OF BUILDING & SAFET -COUNTY OF RIVERSIDE APPLIANCE FIELD OFFICE GARBAGE DISPOSAL CONSTRUCTION ESTIMATE _ E CTRICAL FEES LAUNDRY TRAY PLUMBING FEES IST FL. 2ND FL. POR. GAR. CAR P. WALL f1.t.1- �� le* f KITCHEN SINK SQ. FT. @ CONST. SERV. ENTRANCE NO. COMPRESSOR HP NO. SQ. FT. @ APPLIANCE VENT SQ. FT. @ MOTOR 1 OR LESS H.P. , F-7 SQ. FT. @ MOTOR 5 OR LESS H.P. SQ. FT. @ ¢ SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ v'� URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION is /X_0 0 PERMIT FEE •• FLOOR DRAIN I I GAS PIPING MECHANICAL FEES SUPP. TO PERMIT wnTco cn rTrNlco VENT SYSTEM ❑ FAN ❑ EVAP.COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) APPLIANCE TRANSFORMER OK•W GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNITI CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE [:]NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR HP POLE. LAVATORY APPLIANCE VENT AMPERES SERV. ENT.SHOWER , F-7 ABSORPTION SYSTEM E::=B.T.U. SQ. FT. @ ¢ BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ (r WATER HEATER HEATING SYSTEM C] FORCED E] GRAVITY SQ. FT. RESID. @ 1 T. SEWAGE DISPOSAL E30ILER O B.T.U. SQ. FT. GARAGE @ z ¢ HOUSE SEWER PERMIT FEE •• BALANCE OF MIN. FEE I I I I GAS PIPING MOBILEHOME HOOKUP FEE I$ I I I ' IPERMIT FEE I I I I PERMIT FEE PERMIT NUMBER Tp7 q -A FEES MOB. HOOK FEE MEAT 1! VENT FEE DBL PK. FEE CONST. FEE DBL ELEC. FEE DBL FEE PLUMBING FEE JDBL (,/`V U00 J F M A M J J A S O N D JOB ADDRESS r+- 590 -7� � •r9 5R,✓ 07NER ►V. LOQ N7�f ` PE77- 72 /� 73USE OF BUILDING , - F.C. DATE PE� 74 rr � .� 4D X44 P , F-7 � � � � O 75 COMMUNITY �X DST I UNITS�ROOMJVALUATION SUPP. TO PERMIT I OFFICE 76 L, . MOBILEHOME $ LEGAL DESCRIPTION / to A_ ys'�2 ?�� T!a 5 7 HOOKUPFEE DBL SET BACK LOT SIZE ZONE USE NO. GRP TYPE CKBY MECHANICAL FEE $ N — I /, I F fO s (j R �O PLAN CHECK FEE $ �/� BOND AMT. PL N NO. PLAN CHECKER�FINALIDATE* INSPI�CTOR DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED CONSTRUCTION FEE DBL .ADDRESS CITY STATE ELECTRICAL FEE $ $ 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. FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF- DBL ORNIA. I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIF-I- CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND TOTAL FEES $ /Vo r- PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH ❑ CHECK ❑ M.O. ❑ N.C. ©/- OWNER I F CONTRACTOR Received B Y ADDRESS r- n- 1 6 C' !t' -�'� ADDRESS Sewage System T L P - CITY CITY Trees Required Yes No INFORMATION TEL. NO. jJ''? �•(_ TEL. NO, LICENSE FORM 284-208 (REV. 4/71)