201886 (SATT)JD.EPARTMEINT'OF• BUILDING &'SAFETY
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` ESTIMATED. VALUATION $ :.
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MECHANICAL FEES
REN. TRAILER FEE
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VENT SYSTEM ❑ FAN Cl EVAP. COOT" HOOD
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INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM.-
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ER
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FINAL.OATE
INSPECTOR
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*BRANCH
�'d-V ' %d-`
r<
TRAILER PERMIT
NAME OF, CONSTRUCTION LENDER . .,Xs..yi., .
OFFICE. -
NO LENDER it,
INVOLVED
ISSUANCE FEE
-FEE
S
ADDRESS t t. ^•
CITY >:+ „
STATE-
TOTAL FEES;
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THIS PERMIT SHALL BECOME VOID- IF •WORK, IS' NOT COMMENCED WITHIN 60DAYS. CESSATION ;
OF WORK FOR) 20,DAYS SHALL ALSO CAUSE TO VOID:
PERMIT •'BECOME
L HEREBY' AGREE THA'T:"ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN A000R-
SASH ' N.C.
Q _'CHECK .: M.O.1:1 Q
DANCE WITH - THE LAWS' OF - RIVERSIDE• COUNTY AND T.H,E STATE OF CALIFORNIA. I ALSO AGREE TO
CARRY.COMO,,ENSATION INSURANCE UPON MY'EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE Ki
RECEIVED BY SEWAGE
SYSTEM ' ' -
11
ff
OF CALIFORNk COVERING CONTRACTORS IS ALSO GUARANTEED.
AND SPE.CIFICAT,IONS HAS DONE `;
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C
LL. Ps •
IHEREBY CERTIFY THAT THE INDIVIDUALWHOPREPARED THE•,PLANS
S IN AC NC _ N 5541'OF THE BUSINESS -AND .PROFESSIONS --CODE OF THE STATE
- I N FO R M AT I QN -
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OF
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CONTRACTOR,
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ADDRESL� •
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