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166927 (SFD)
DEPARTMENT OF BUILDING & SAFETY sk COUNTY OF RIVERSIDE AN FIELD OFFICE CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES TOTAL FEES r1st FI. 2nd F I. f Par. I: /Gar. Car P. ... C WDII Sq. Ft. @ NO. ELEC. FEE NO. Sq. Ft. @ Sq. Ft. @ 6'a POLES Sq. Ft. @ Sq. Ft. @ SIGNS DRAINAGE PIPING W. TRANS. AND/ DRINKING FOUNTAIN Sq. Ft. @ OR T. CLK. O N D O N D Sq. Ft. @ MOTOR H.P. URINAL SET BACK MOTOR H. P. WATER PIPING SIZE ESTIMATED VALUATION Is 34,z MOTOR H. P. FLOOR DRAIN MECHANICAL FEES MOTOR H. P. WATER SOFTENER 'K PLAN CHECK FEE ZONE VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. CHECKED BY WASHER (AUTO DISH) DISTRICT J �D APPLIANCE FIXTURES OFFICE " MECHANICAL FEE GARBAGE DISPOSAL i Y FURNACE NIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY TYPE LEGAL DESCR TION J Z AIR HANDLING UNIT O SUB -PANEL ' CONSTRUCTION FEE KITCHEN SINK J GAS PIPE ❑ NATURAL ❑ L.P.G. 13OIL SPEC. INSP. SUPP. TO PERMIT WATER CLOSET i Av ,I Q V COMPRESSOR DMP RANGE AND/OR OVEN LAVATORY 0PLAN .. O�}. w W APPLIANCE VENT WATER HEATER PLAN FILE FINAL DA/rE SHOWER ,�j� E ABSORPTION SYSTEM D B.T.V. SPACE HEATER BATH TUB PLUMBING FEE k 0 r V INCINERATOR DOMESTIC ❑ INDUS. ❑COMM. CONSTRUCTION POLE WATER HEATER TOTAL FEES HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED SEWAGE DISPOSAL WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS BOILER C� B.T.U. ,• RESID. IC SQ. FT. - y� W HOUSE SEWER RES IDEN TAL Sp.FT.�@ FEE �.E iR Sp. FT. ' GAS PIPING SIDE COUNTY,AND THE STATE OF CALIFORNIA. I ALSO AGREE TO PERMIT FEE r y 1 PERMIT FEE P �© ♦` / PERMIT FEE ' TRACTORS ISIA'LSO GUARANTEED. PERMIT NU Eye REN. DBL. J TOTAL FEES HEAT & VENT FEE PLN. CK. FEE CONST. 'FEE J ELEC. FEE PLUMB. FEE J 1 FM A M J J A S J F M A M J J A S O N D O N D SET BACK ILOT SIZE USE V JOB ADDRESS �OWNERER^ p 'K PLAN CHECK FEE ZONE USE -OF BUILDING DATIf CHECKED BY COMMUNITY DISTRICT J F.C. UNIT J VALUATION OFFICE " MECHANICAL FEE TYPE LEGAL DESCR TION 166927 PERMIT NUMBE ' CONSTRUCTION FEE - fA SPEC. INSP. SUPP. TO PERMIT ~ ELECTRICAL FEE 0PLAN .. CHECKER BOND $ BOND PLAN FILE FINAL DA/rE INSPECTOR ,�j� [CASH PLUMBING FEE TOTAL FEES 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. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS CASH CHECK p M.O. N.C. RECEIVED BY SEWAGE SYSTEM PER R MIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- SIDE COUNTY,AND THE STATE OF CALIFORNIA. I ALSO AGREE TO T LL P �© C/'RRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON - INFORMATION TRACTORS ISIA'LSO GUARANTEED. INAHS of CuN. STRUCTION LEIDER: ,� I { I OWNER ( t! CONTRACTOR $AA lu jj';��<u�[ ��C-17MR, lY V�11L'YJLiZD15RESS ADDRESS CITY 5TT? NO LE5,)RR I1VJLPD � TEL. N . + TEL. NO. LICENSE NO. z84-208 11/67