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242905 (AR)
BUILDING PERMIT CONSTRUCTION ESTIMATE 1 ST FL. ! f> SQ.FT. 2ND FL. SO. FT. @ POR. SQ. FT. @ GAR. SQ. FT. @ CAR P. SQ.FT. @ WALL SQ, FT. @ SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ w� NOTE: Not to be used as property tax valuation MECHANICAL FEES VFNIT CVCTFAA rl FA NI f-1 FVAP rnr)1 171 HOOD DEPARTMENT OF BUILDING & SAFE' COUNTY OF RIVERSIDE NO. ELECTRICAL FEES UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT SWIM POOL, COMM SIGN FIELD OFFICE NO.I PLUMBING FEES BOILER I I B. BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) ai RJ APPLIANCE GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑GRAVITY AMPERES SERV ENT SHOWER SQ FT @ C BATH TUB SQ FT @ a WATER HEATER SQ FT RESID @ la X1 ,A1 SEWAGE DISPOSAL SQ FT GARAGE @ 'ha HOUSE SEWER PERMIT FEE TEMP ELEC SVC GAS PIPING MOBILE HOME PERMIT FEE S ,% PERMIT FEE hta PERMIT FEE PERMIT NO. TOTAL FEES MOB. HM. FEE MICRO FEE MECH. FEE DBL PL. CK. FEE CONST. FEE DBL. ELECT. FEE DBL. SMI FSE FEE PLUMB. FEE DBL 2429051 y 1"A� / 3t� fid O os � J I F M I A I M I J J I A I 5 1 O N D JOB ADDRESS// SP NO �// J I owva, ,{ 3 73 �'� L•a / +ytir t!! �l /f /?/-/ 74 USE OF PERMI-Ty' � �SoD (> 1241-,! D�% F.C. J DATE/ Lf-/f—>I P MI NO. 75 M H PERMIT FEE 4. COMMUNITY DST UNITS ROOMS VALUATION TO PERMIT OFFICE j ISUPP. MICROFILM FEE COPIES $ LEGAL DESCRIPTION 11 t, T - � %��' - %�(- /�lz " 4 4RHC'l / 7"� MECHANICAL FEE DBL $ SET BACK LOT S1ZE ZONE) USE NO. GRP TYPE �KBY PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER FINAL DATE INSPECTOR J CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLUfd ELECTRICAL FEE DBL $ ADDRESS CITY STATE SMI FEE $ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA- TION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. L WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC - I HEREBY AGREE T:��-NSSATION $ FEE CORDANCE WITH THE OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY CO INSURAN PON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE CALIFORNIA COV I G N TORS IS ALSO GUARANTEED. PLUMBING FEE DBL $ I HEREBY CE Y—T THE IN U PREPARED THE PLANS AND SPECIFICATIONS HAS DONE S CORD A CE_ O 54I -OF THE BUSINESS AND PROFESSIONS CODE OWN AGEaT' 04 ! CONTRACrOR , TOTAL FEES OT 6 A 1✓� CASH ❑ CHECK M.O. ❑ N.C. ❑ ADDRESS �JG'3 til)��/r/r� ADDRESS RECEIVED BY TP.EES REQUIRED CITY ZIP CODE CITY ZIP CODE SEWAGE SYSTEM LL _ - INFORMATION TEL. 7E1. NO. LICENSE DORM 284.2081Rev. 9.731 ©s 7NO. h n �p (O'f.J `?,A "...1�✓ w� RJ