A014313 GradingFIELD r �k y S a d ,,,� +•
DEPARTMENT OF BUILDING &SAFETY t� I L' •
PERMIT NO. PERMIT TYPE �• -
COUNTY OF RIVERSIDE
A01.4313 w
cA 3 9
-- - > 4-
x:.t:
>dd t onvl Inforr,latlon: .. _ .
-ACTORY BUILT HOUSING
,-.:
MOBILE HOME INSTALLATION :.
1Aahufacturer
MH Manuf. New! 0
+Rode{ Designation
Size Relocated p
Jnit Serial No.
Total Fees $ _ , �-
-
'lan Approval No.
nsig..Serial No.
Moving
iewoge System
7 }l
p -
Permission is hereby granted to move the
structure, described below In
otal Fees $;ry,�M
., . ;.Width := Length Height
3RADING
#1 '
Number.
of #2
-,ut
-
::,: •.
Sections 5
#3 '
_
aS :.
d
otal Fees $ f�
V
Present location
Community. - ` County -
:'cLOCATION INSPECTION
-
Destination
- -
'resent location-
ommunity -
County
Totdl Ff=es —
ral+Fees
_$:_
_.
rt No:
: Jo ess
SP #
ZIp
of
"
Co unit -
Valuation
Date::1
ff
P.C.
'Ian Check. _
�_l,N
$
-
T,
'elnspectlon —
Use of Permi
(�
_
I NT� �y�H
-or1Qc>�'Z
Lot Size
dctaryr -
_ — -Set backs'` Use Permit t
--
-
al es ip ' 1 �j
-(? (: '
/tom
�rcding
Type
Unit-
_.
Y
:
Engineer. . Licenset.-
Final Date..
Inspector
Env. Assmt-
&-bile home
_
#
Requirement
..
Escrow Company _ r nch CC 0 -
locations
� M
�
Address city p
ata I Fees
..'
''"` 4_i" ,� ti t ,� .,. z;;,. ���`. _ �; • � .� ,y �= J h " z i ' '`' _ ,;;
cash Check.
MO NC
OwnerL gent ri � �^ �. I � Tel...,,;� � � I
Address City ` Zip
6
Z' lated,Pe Ws) . ' /J ``J7
C or/over rn i/. � t� `-` .Tel ! (
r
11 ylTy
es ❑ no r/? Z,Jp4
t -
IF
certify .thatin the performance of the work for which:, this permit is :-;This permit sholl become void if work is not. commenced within 120,days. Cessation of work far, 120 days
sued I shbll not empioy any person in any manner so as to become sub shall also cause permit to become void. r `
r to the workers' compensation laws of Coliiomia.I. hereby agree that all wo& in connection .wlrh this permm will be done. in accordance with he taws os
Riverside County and the State of Cclifomio: I hereby certify that the individual -who prepared the plans and t
Owner Signature ,_specifications has done so in -accordance with Section 5541 of the Business artd Professions Code .of the ::
Builder Signature Stare of California
__ :.