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214864 (CSCS)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY*FIELD.OFFICE COUNTY OF RIVERSIDE WASHER (AUTO) (DISH) APPLIANCE CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES 1ST FL':. 2ND FL. POR. GAR. CAR P. WALL f - ! SQ. FT. @ NO. NO. SQ. FT. @ GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL SQ. FT. @ MOTOR 1 OR LESS H.P. WATER CLOSET SQ. FT. @ MOTOR 5 OR LESS H.P. POLE SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. @ URINAL �K.W.UNITS WATER PIPING ESTIMATED VALUATION is WATER HEATER FLOOR DRAIN SQ. FT. RESID. @ 1 ¢ MECHANICAL FEES I I WATFR Sr)FTFNFR 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 I CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR O HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM E= B.T.U. - SQ. FT.@ ¢ BATH TUB INCINERATOR ❑ DOMESTIC E] INDUS. OR COMM. SQ. FT.@ T. WATER HEATER HEATING SYSTEM []FORCED ❑GRAVITY SQ. FT. RESID. @ 1 ¢ SEWAGE DISPOSAL 901LER E== B.T.U. SQ. FT. GARAGE @ z It HOUSE SEWER PERMIT FEE BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE I$ PERMIT NUMBER 214V64j,4gEES M I ' IPERMIT FEE EAT & VENTFEEDBL PL. CK. FEE C(�O�N//�S)T. FEE I I PERMIT FEE I I E�LEEC.1FEE JDBLJ, FEE PLUM /BING FEE DBL jam©".'• J F M A M J J A S 0 N D JOB ADDRESS -y 73 U E OF BUILDINGF.C. E,;>>�, °f� DATE -����' PER NO. 2� 4864 74� 75 COMMUNITY DSTT' UNITS OOM VA DATIION999% SUPP. TO PERMIT I OFFI 76 MOBILEHOME $ LE AL D/E{SfCjRIPTION "•• /� �i,°G /`��/C1" HOOKUPFEE lel F MECHANICAL FEE DBL $ SST BAC KR LOT SIZE ZONE USE NO. GRP TYPE JCKBY472` F • PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKERFINAL DATE IN ECTOR 5 W 7 3 CONSTRUCTION•FEE DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED DBL v ADDRESS CITY STATE ELECTRICAL FEE $ 0s . $ 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 1 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 PLUMBING FEE 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 'PLAN NDSPECIFI CATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 USINESS AND i TOTAL FEES $ f Y PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH Q. CHECK • ❑ N.C. OW ER CONT ACT /�' �k 4/3tn/!- Gl , Received By ADDRESS ADDRESS Sewage System T LL P�`� Trees Required Yes No CITY Wzwpmr44 ' INFORMATION v TEL. NO. ,I • TEL.+NO. rLICENSE 1 _ 7 0?4�r4,, FORM 284-208 (REV. 4/71) q •F-