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258323 (BLCK)
I BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. SO.FT. @ 2ND FL. SQ. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SOFT. @ WALLS G` SQ. FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ NOTE: Not to be used as property tax valuation MECHANICAL FEES VENT rVCTFee I-1 FAN I-1 FVAp cnril n HOOD DEPARTMENT OF BUILDING & SAFE' ` COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL. COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER tAUT01 IDISHI DST 'T /1 APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT I CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM I�.J B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ ¢ BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ ]a SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE Is PERMIT FEE PERMIT FEE PERMIT NO. T t MOB. HM. FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE I �CO_NST. FF.E DBL. I ELECT. FEE I DBL. SMI FEE FEE PLUMB. FEE DBL J F MA I M I J I J A I $ 1 Q 1 N D JOB ADDRESS SP NO OWNER 73 74 USE OF PERMIT 4 x'7 �iSArZW.J W,44.4_ F.C. JDATE P 3 75 M H PERMIT FEE $ COMMUNITY DST I UNITS ROOMS I VALUATION r:• -C9 SUPP. TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGAL DESCRIPTION MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE F 5 PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IINSPECTOR A _/ 3 ') 5 v�kN114 v = I CONSTRUCTION FEE DBL $ w NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVO ED ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC- CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. 1 HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. �� FEE $ PLUMBING FEE DBL $ TOTAL FEES $ G OWNER/AGENT'S 51 TUR _ - a s-:" CONTRACTOR CASH ❑ CHEC M.Q. ❑ N.C. ❑ ADDRESS ADDRESS RECEIVED BY TREES REQUIRED SEWAGE SYSTEM/T LL P CITY ZIP CODE CITY ZIP CODE INFORMATION {11. FORAp 284-208 (Rev. 9.73, ©S TEL.NO. � [� TEL. NO. LICCNSE