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304252 (SATT)
` •suicDiNc PERINIIr < ' DEPARTMENT OF -BUILDING & SAFETY tPERMITNO. .COUNTY ,OF RIVERSIDE `. 304252 CONSTRUCTION ESTIMATE NO. I ELECTRICAL FEES 1 ST F.L. SQ. FT. I $ 2ND FL. SQ. FT: WATER SOFTENER �� GAR. SQ. FT. CAR P. SQ, FT. • @ • •: WALL SQ. FT. 8 APPLIANCE DRYER SQ. FT.. 8 ESTIMATE DCONSTRUCTIONVALUATION $.'- NOTE: Not to be used as property tax valuation MOBILEHOME SVC. POWER OUTLET FIELD OFFICE NO. I PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN III -t- I MECHANICAL FEES 'Supp. Permit's SWIM POOL, COMM Spdce Zip Owner Valuation Dote $-�.;;F .,�„® ! .` WATER SOFTENER rF.. Off.MH VENT SYSTEM '" FAN ❑ EVAP. COOL ♦ HOOD "'w SIGN Micro Film Fee - WASHER (AUTO) IDISHI 17 j, APPLIANCE DRYER Parcel No. �+•j 7.1( Use No. GARBAGE DISPOSAL 04 FURNACE ❑ UNIT ❑ WALL 01`1.60 ❑ SUSPENDED Ser.9ocks S Lot Size - v - h t LAUNDRY TRAY AIR HANDLING UNIT CFM- IDLE METER" - KITCHEN SINK . Unit ABSORPTION SYSTEM 0 -B.T.U. 1 TEMP USE PERMIT SVC Dbl $ WATER CLOSET Plan Checker, COMPRESSO OHP Inspec POLE, TEMP/PERM . LAVATORY a HEATING SYSTEM FORCED ❑ GRAVITY • ,. Const. Lender Address r - AMPERES SERV ENT Ll SHOWER Mileage Fee. 1 BOILER B.T.U. •Reinsp. Fee SQ. F.T. p ¢ Owner/Agent - BATH TUB Tel. ` Zip - SQ. FT. @ - ¢ :Total Fees- $ - • + M.O. ❑ N.C. ❑ Cash ❑ Check - WATER HEATER - ' City .. SQ. FT. RESID p 1'/.¢ Received SEWAGE DISPOSAL Contractor : '_ • 4% dress r cd`� "' _ 10 66F70 4P9 .9 F2 012 ' SQ. FT. GAR Col 1/.¢ p 1 t Workers' Comp. - yes no ❑ HOUSE SEWER f LL - 4r X SV_rWORK THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS' CESSATION OF FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ;enf d by' - t GAS PIPING PERMIT F �.S PERMIT f PERMIT FEE Q" DBL. Ite;0, WK Mae. HM. FEE .. MIC ROFEE M CH. FEE PL: CK. FEE -� _P ra EL CT. FEE 11 SMI FEE' FEE MB. -FEE PERMIT.NO.- 30252' 'Supp. Permit's Job Address - J nity - Spdce Zip Owner Valuation Dote $-�.;;F .,�„® ! .` t / % rF.. Off.MH Permit Fee- $ Micro Film Fee Cop $ Use o Permit ,- - - Legal Description v-- . r ,- 09 --.• ^� f Parcel No. �+•j 7.1( Use No. Ck.by Mech. Fee f (`F°'�{ Dbl $ PI. Ck. Fee- $ • jI Construction Fee Dbl. $ O Elearicol Feej ' Dbl $ L 'tY( SMI Fee $ Ser.9ocks S Lot Size - v - h t F vo Zone �Grp - Type Unit 1 Plumbing Fee Dbl $ §ond Amt. Plan No. - $: // Plan Checker, Final Dore, a'Y i-% Inspec . .Sp. Insp. Fee $ 01— -Demol.:Fee ; y$ Const. Lender Address r - , " .Branch 'I certify that i.e performance of not employ any personthin:any rnanner pensation Taws of CaliFOrnia.' City Zip ' Owner &gnoture Budder Signature v . which for which thrs permit is issued I shall., to become subject to the workmen Vtom- _ Registr- Fee - �$ Mileage Fee. 1 Witness Fee $ •Reinsp. Fee $ Owner/Agent - - Tel. • Zip - :Total Fees- $ - • + M.O. ❑ N.C. ❑ Cash ❑ Check - Address ,' - - ' City .. Zip •{ Received Contractor : '_ • 4% dress r cd`� "' _ 10 66F70 4P9 .9 F2 012 .Tel. City - - ^ - License / - Zip p 1 t Workers' Comp. - yes no ❑ frees reg6rr .'Sewpge System y Sewer District f LL - 4r X SV_rWORK THIS PERMIT SHALL BECOME -VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS' CESSATION OF FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. ;enf d by' - t 1 HEREBY -AGREE THAT ALL WORK IN CONNECTION -WITH THIS PERMIT WILL BE DONE IN ACCORDANCE s- ,:WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA. I`HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284-208 (Rev. 4.771 ©s CALIFORNIA.