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174797 (MISC)FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENFR VENT SYSTEM ❑ FAN ❑ DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE • MOTOR H. P. CONSTRUCTION ESTIMATE ELECTRICAL'FEES Ist FI. 2nd Fl. Por. Czar. Car P. Wall HEAT HEAT Bi. VENT FEE PLN. CK. FEE J Sq. Ft. @ NO. Sq. Ft. @ FURNACE ❑ UNIT ❑ WALL Sq. Ft. @ OUTLETS Sq. Ft. @ ,;POLES Sq. Ft. @ SIGNS Sq. Ft. @ ORAT SCLKD/ Sq. Ft. @ MOTOR H. P. ❑ L.P.G. ❑ OIL MOTOR M.P. ESTIMATED VALUATION $ MOTOR H. P.. COMPRESSOR MECHANICAL FEES MOTOR FIELD OFFICE PLUMBING FEES DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER'SOFTENFR VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD MOTOR H. P. REN. DBL. WASHER (AUTO) (DISH) APPLIANCE HEAT HEAT Bi. VENT FEE PLN. CK. FEE J FIXTURES ELEC. FEES w� GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT - SUB -PANEL -3: KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL - 1 �1... I- p WATER CLOSET COMPRESSOR HIP R NGE.AND/OR OVEN OWNER J''� ..// J LAVATORY APPLIANCE VENT R WATER HEATER ZONE SHOWER ABSORPTION SYSTEM D B.T.U. SPACE HEATER .-i"_. `'� C r,, 7A? BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. CONSTRUCTION POLE WATER HEATER HEATING SYSTEM ❑ FORCED ❑ GRAVITY SERVICE ENTRANCE SEWAGE DISPOSAL BOILER F B.T.U. RESID. IC SO. FT. HOUSE SEWER PERMIT FEE GARAGE zQ 50. FT:: GAS PIPING J PERMIT FEE -J f%ri/ PERMIT FEE PERMIT NUMBER REN. DBL. TOTAL FEES HEAT HEAT Bi. VENT FEE PLN. CK. FEE J CON57. FEE ELEC. FEES w� PLUMB: FEE - cif/ - -3: FM_ _ A _. _...__N1, -. J J A S J F M A M J J A S - O N D ., O - N D SET BACK LOT SIZE USE I •' JOB ADDRESS I I! 17 I.W6 OWNER J''� ..// J F S R ZONE TSE OF BUILDING PAy5k PLAN CHECK FEE $ .-i"_. `'� C r,, 7A? 1 CHECKED BY COMMUNITY" DISTRICT F.C. UNITS VALUATION OFFICE MECHANICAL FEE $ GR P �Tf PE' LEGAL DE RIPTION PERMIT NUMBER CONSTRUCTION FEE $ 1 4-4-2 230A 174797 SPEC. INSP. - SUPP. TO PERMIT ELECTRICAL FEE $ .� •.�,.. • PLAN CHECKER BOND $ BOND CASH PLAN FILE it DATE CT PLUMBING FEE $ FFINAL �-'9.61 jINSP TOTAL FEES �;�3+' �� PERMITTHIS SHALL IF IRIS NOT WITHIN 60DAYS.CES CESSATION OF WORKFOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS - CASH CHECK _ M.0. N.C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO r.p T LL P CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF ALIFORNIA ,COVERING CON- TRACTORS IS ALSO GUARANTEED. NAME OF CONSTRUCTION LENDER,'.'', _. OWNER CONTRACTOR BRANCH OFFICE . JqJ j/j �[`y k,'�• •� °r= ADDRESS S't Pty F• l �>:'` . ADDRESS UDRE55 " -- K11 CITY STATE p °^, � ISi f-`�yL NO LENDER INVOLVED ' ONFORMATIO'N Y -% TEL. NO. -0 .. - TEL. NO. ,! LICENSE NO. )84-209 ,z/sB e y'.%__.. . __ _ -r / z x 3