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272673 (SATT)BUILDING'PERMIT DEPARTMENT OF BUILDING & SAFETY, ' --COUNTY COUNTY OF RIVERSIDE ESTIMATE NO. ELECTRICAL FEES NO. -FIELD OFFICE PLUMBING FEES /CONSTRUCTION- 1 ST FL. / 49 '�f� 2ND FL. POR. GAR. '414111 CAR P. WALL SQ.FT. @� =� i✓ . G7 fly - UNITS SO. FT. @ YARD SPKCR SYSTEM 50. FT. MOBILEHOME SVC. BAR SINK SQ. FT. @ — "�' �w ^: �! ""`y POWER OUTLET ROOF DRAINS SQ.FI. @ DRAINAGE PIPING ` SQ. FT. @ DRINKING FOUNTAIN ' S0: FT. @ ESTIMATED CONSTRUCTION VALUATION $.,J rrw 3. URINAL WATER PIPING ' NOTE: Not to be used os property tax.voIuation. • SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM 4,1 S' 0 WATER SOFTENER !�t 'v �'� AMPERES SERV ENT VENT SYSTEM ❑.FAN ❑ EVAP. COOL D HOOD "d vu I SIGN * t f WASHER IAUTOIIBt9t91_ .2 eo APPLIANCE ../.... a yµ ko SQ FT @ a C.ARRAr,F rnspntAl FURNACE ❑ UNIT ❑ WALL ❑ FLOOR [j SUSPENDED J J A S O N D JOB ADDRESS - - --- `-`T - - _ i SP NO - OWNER LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER USE OF PERMIT KITCHEN SINK s ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET 3. COMPRESSOR ' / HP fr/ e.7 Lt POLE, TEMP/PERM $ LAVATORY 4,1 S' 0 HEATING SYSTEM ;9FORCED ❑ GRAVITY !�t 'v �'� AMPERES SERV ENT ♦ u VALUATION SHOWER .2 eo BOILER B.T.U. SQ FT @ a 1 BATH TUB ' {jiJ SQ'FT @ a r WATER HEATER f cffir� SQ FT RESID 41ec /'' /GT f SEWAGE DISPOSAL SQ FT GARAGE @a !4 (f .,„ HOUSE SEWER COPIES $ .F PERMIT FEE „ riE! / GAS PIPING Vf/ MOBILE HOME PERMIT FEE $ �DDESCRIPTION /3:,1, �?, y /"d d PERMIT FEE [ ?w✓O : $ PERMIT FEE SETBACK LOT SIZE ZONE s'« PERMIT NO. 272673 TOTAL FEES -MOB. ' HM.FEE MICRO FEE MECH. FEE `J �u DBL. Pl_ CK. FEE CONST. FEE, / r DBL. ELECT. FEE. DBL. �= SMI FEE FEE PLUMB. FEE == DBL. J I F I M A I M I J J A S O N D JOB ADDRESS - - --- `-`T - - _ i SP NO - OWNER 74 75 USE OF PERMIT F.C. DATE PE MIT NO. X72673' 76 ( Lam! -v! C' ��,� = M H PERMIT FEE $ COMMUNITY DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE �—t� I MICROFILM FEE COPIES $ �^LEGALL ' �DDESCRIPTION /3:,1, �?, y /"d MECHANICAL FEE DBL $ SETBACK LOT SIZE ZONE USE NO. GRP TYPE CCK' BY 7 IF .r �y PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE 'I IECTTO�R� O CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE _ NO LENDER INVOLVED ,/ © !� ELECTRICAL FEE DBL $ _ ADDRESS CITY STATE _ i C;70 f STRONG MOTION $ OWNER/AGENT'S SIGNATURE CO NT RACVLOFe (/ INSTRUMENTATION FEE ,I•----./. �+ 9 Ve ADDRESS - ADDRESS FEE PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE I ID Co TOTAL FEES , $ -+ _ bis TEL.'NO. TEL. NO. LICENSE je- CASH 0 CHECK 18 M.O. ❑ N.C. Q THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- AloN OF 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 AC- RECEIVED BY TREES REQUIRED , .� T/dJ LL p'� 'k°4•✓'dl CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE I I HEREBY CERTIFY THAT•THE INDIVIDUAL WHO PRE-PAREDJTHE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) QP L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 `OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA.