162262 (SATT)DEPARTMENT OF BUILDING & SAFETY
COUNTY OF RIVERSIDE
- CONSTRUCTION ESTIMATE
SET BACK
ELECTRICAL FEES
.,'1st FI.
' 2nd FI.
Par..
Gar. �'`
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Wall
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POLES
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MOTOR H.P.
.. APPLIANCE
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FIXTURES
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F
f MECHANICAL FEE•
OUTLETS. -
Z AIR HANDLING UNIT-
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SUB-PAMEL
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NUMRCONSTRUCTION
WATER NEATER
E ABSORPTION SYSTEM B.T.U.
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1
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SERVICE ENTRANCE
BOILER B.T.U.
RESID. 16 SQ. FT.
1 RESIDEN TAL FEE SQ.FT.[NI
17
SPEC.
GARAGE iQ SQ. FT.
tPERMIT FEE - -
SUPP. TO PERMIT
- S!/`§
PERMIT FEE ..
ERMIT I
M6 YY LG
REN.
DBL_
TOTAL
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HEAT & VENT FEE
O;
PLN.
CK.FE
.CONST. FEE
J F A -. .M
�P.
A S
FIELD OFFICE
PLUMBING FEES
NO.
DRAINAGE PIPING
DRINKING FOUNTAIN
URINAL
WATER PIPING
FLOOR DRAIN
WATER SOFTENER
WASHER (AUTO( (DISH)
GARBAGE DISPOSAL `
LAUNDRY TRAY
KITCHEN SINK
WATER CLOSET
LAVATORY 7
SHOWER
BATH - TU }�
WATER HEATER 511)
SEWAGE DISPOSAL �-
v HOUSE SEWER
GAS PIPING
PERMIT FEE Q'
ELEC. FEE •ter PLUMB. FEE
O N D
SET BACK
LOT SIZE
USE # -
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JOB ADDRESS OWNER
t
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ZONE
US -OF: BLILDING
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PLAN CHECK FEE
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CHECICED BY
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UNITS
VALUATION
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f MECHANICAL FEE•
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TYPE
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NUMRCONSTRUCTION
4fER`MIT
622
FEE
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17
SPEC.
INSP.
- s
SUPP. TO PERMIT
ELECTRICAL FEE
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PLAN CHECKER
gpND $
BOND
PLAN FILE It
FINAL DATE.,
INSPECTOR
g PLUMBING FEE
F
[CASH
t TOTAL FEES/t�
1.
THIS PERMIT SHAL-L BECOME VOID IF WORK IS NOT COMMENCED
7
WITHIN 60'DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO
CAUSE PERMIT TO BECOME VOID.
.1 HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS
CASH CHECK M.O. .N.C.
(RECEIVED BY. -
SEWAGE
SYSTEM
PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER -.
i
SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO
I
T !70'LL
-dS•
CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI-
ANCE WITH LAWS OF THE STATE OF CALIFO IA COVERING CON-
o
INFORMATION
TRACTORS IS, ALSO GUARANTEED. r
f's
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r
OWNER _
C`9NTR AC TOR t -
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n
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ADOR ESS,
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�T L. ._. - .'TEL.
N �.
LICENSE NO. °
1284-208 11/67
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