308756 (PAT)WILDING PERMIT DEPARTMENT OF BUILDING & SAFETY
fIELD OFFICE
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PERMIT NO.
A08756,1
PERMIT NO.
COUNTY OF, RIVERSIDE
space I Z'
CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. 'PLUMB-ING FEES
2ND FL.
.POR. SO.
CAR P. SQ.
WALL SO.
EE�].SQ.
ESTIMATE IN
SQ. FT. @ YARD SPKLR SYSTEM
FT. MOBILEHOME'SVC. BAR SINK
POWER OUTLET ROOF DRAINS
FT. DRAINAGE PIPING
FT., DRINKING FOUNTAIN
FT., @ URINAL
VALUATION is, WATER PIPING
NOTE: Not to be used os property tax valuation SWIM POOL, PVT FLOOR DRAIN
'MECHANICAL FEES �JSWIMPOOL,COMM WATER SOFTENER
iiiiicro Film Fee
WASHER (AUTO) (DISH)
Use of Permit
A
APPLIANCE 0 DRYER. GARBAGE DISPOSAL
P c I No
FURNACE 0 UNIT 0 WALL 0 FLOOR 0 SUSPENDED LAUNDRY TRAY,
by
AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK
$
ABSORPTION SYSTEM, B.T.U. TEMP USE PERMIT SVC WATER CLOSET
Lot Size
COMP RESSOR HP MP/PERM LAVATORY
MILE, TE
Legal Description
-7AP
HEATING SYSTEM 0 FORCED 0 GRAVITY 4 AMPERES SERV ENT SHOWER
Ro
BOILER B.T.U. SQ. FT.- BATH TUB
Electrical Fee DbI $
SQ. FT. WATERHEATER,
Grp Type
SQ. FT. RESID 'I 1/4c SEWAGE DISPOSAL
SQ. FT. GAR 1A c HOUSE SEWER
Plumbing Fee
DbI $
GAS PIPING
PERMIT FEE
PERMIT FEE- PERMIT FEE
DBL.1
IOTILIEES
1101, 1-11CFEE1
MICRO FEE. MECKFEE PLCK, FEE.
CONST FEE' -ELECTFEE S
F FEEI',PLU FEE
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PERMIT NO.
A08756,1
Supp. Permit
Job Address
space I Z'
Owner
If
Community
V luation
Dote
Dist.
F..
iiiiicro Film Fee
Cop IS
Use of Permit
A
P c I No
Use No.
by
Mech. Fee
$
Set Backs
Lot Size
Zonstruction Fee DbI )s 4CC'
Legal Description
-7AP
Ro
Electrical Fee DbI $
ZoA
Grp Type
Unit
SMI Fee
Plumbing Fee
DbI $
Bond Amt.
Plan Checker
)emol. Fee A
$
Const. Lender Branch
Address City Zip
'I , certify thZI in the performance of theAofk-fo( which:his permit is issued I shall
not employ any7person in any manner so as to become subject to the workmen s com-
Owner Signature
Builder Sicinciff
Mileage Fee
Witness Fee $
Zein sp. Fee
$
0,,me X91ent
Tel. Zip
rotol Fees
"s
ress
City Zip
Recei�ed by
Contractor
Tel.
License #
T
Sewer District
�L P
Zip
Workers'Comp.
THIS PERMIT SH�NLL BECOME VOID IF WORK IS NOT COMMENCED W ITHIN e,,F;.d by:
120 DAYS. CESSATION61'
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 ACCORDANCE