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272342 (PAT)FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB AAD{DRESS `�- %� SP NO FIELD OFFICE> BUILDING PERMIT . DEPARTMENT OF BUILDING & SAFETY IDLE METER KITCHEN SINK COUNTY OF RIVERSIDE 0 B.T.U. TEMP USE PERM SVC WATER CLOSET DST ., HP a- LAVATORY CONSTRUCTION ESTIMATE , NO, -ELECTRICAL FEES^ NO. , PLUMBING FEES BOILER 0 B.T.U. 1 ST FL. SOFT. @ . UNITS �., .. ROOMS SO. FT. @ _. - - «;•..^r - • ' YARD SPKLR SYSTEM-. ,- 2ND FL. � / SO. FT. @ �" '16, ,ry (/ MOBILEHOME'SVC-, BAR SINK -- POR., t � SO. FT. @ POWER OUTLET - ROOF DRAINS GAR. SO.FT. @ GAS PIPING DRAINAGE PIPING, CARP. FT. @ J.PERMIT FEE DRINKING FOUNTAIN WALLSO. SO. FT. @ �• Y URINAL ' MECK FEE VALUATION - PL. CK. FEE, 750 WATER PIPING ESTIMATED CONSTRUCTION' NOTE: Not to be used as property tax valuation SWIM POOL, PVT a FLOOR DRAIN MECHANICAL FEES. SWIM POOL, COMM . WATER SOFTENER aa 0 1,0 "1 - %/,)' ;; C VENT SYSTEM ❑ FAN ❑ EVAP. COOL ' ❑ HOOD" SIGN WASHER (AUTO) (DISH) $ APPLIANCE SETBACK GARRAGF MSPnSAI FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED JOB AAD{DRESS `�- %� SP NO LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑FORCED ❑GRAVITY AMPERES SERV ENT SHOWER. BOILER 0 B.T.U. SQ FT @ a BATH TUB UNITS ROOMS SQ FT @ ¢ WATER HEATER OFFICE SQ FT-RESID @ 1 ¢ SEWAGE DISPOSAL At g SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE GAS PIPING MOBILE HOME PERMIT FEE is J.PERMIT FEE PERMIT FEE E MIT O. 2I 42 TOTAL FEES MOB. HM.FEE MICRO FEE MECK FEE DBL. - PL. CK. FEE, 750 CONST- FEE .� ,00 181. ELECT. FEE DBL. SMI FEE 61 FEE PLUMB. FEE DBL: J f M A M T J J A S O N D JOB AAD{DRESS `�- %� SP NO OWNNEER 75 USE OF PERMIT F.C. DATE ! jP 76 - pt) I; ..� �F�� p d ..272342 M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS I VALUATION SU P. TO PERMIT OFFICE At g T vim' , ' MICROFILM FEE COPIES $ LEGAL DESCRIPTION, aa 0 1,0 "1 - %/,)' ;; C MECHANICAL FEE DBL $ SETBACK LOT SIZE USE NO. GRP TYPE CK BY • (ZONE /t /j F fJ / S C'� .. 1 RCS f PLAN CHECK FEE - $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE IN PEC11TOR 69 1 CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED / 17 ELECTRICAL FEE DBL $' ADDRESS CITY STATE STRONG MOTION $ OWW�N/E 1AGE *S SIGNATURE.. ! CONTRACTOR INSTRUMENTATION FEE - � �, � • ��-� FEE $ t/ ADDR565 ✓ `6 ADDRESS PLUMBING FEE DBL $ CIITY�j� It ZIP CODE CITY ZIP CODE TOTAL•FEES $ T - 6; TEL. NO. TEL. NO. LICENSE CASH ❑ HECK M.O. ❑ N.C. ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA RECEIVED BY may., TREES REQUIRED (� �:N OF WORK FOR 12;0 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE, DONE IN AC DANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC SEWAGE SYSTEM ( T LL p AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THI u I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) @L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE L OF THE STATE OF CALIFORNIA.