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350638 (SATT)
V t i BUILDING PERMIT PERMIT NO. 35063 CONSTRUCTION' ESTIM :. 1ST FL. SQ. FT. 2ND FL. 'SQ. FT. POR, SQ. FT. GAR. SQ. FT. CAR P. SQ. FT. WALL SQ..FT. Q SQ. FT. , C� ESTIMATED CONSTRUCTION VALUATION NOTE: Not to be used os property tax valuation DEPARTMENT.OF BUILDING & SAFETY ,. 'COUNTY OF RIVERSIDE —Q NO. 'ELECTRICAL FEES 7'r /c i �� UNITS MOBILEHOME SVC. POWER OUTLET SWIM POOL, PVT FIELD OFFICE NO. -PLUMBING FEES - YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR BRAIN V MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER • VENT SYST&XX0 FAN ❑ EVAP. COOL An HOOD SIGN WASHER (AUTO) (DISH) `� APPLIANCE ❑ DRYER MH Permit Fee GARBAGE DISPOSAL FURNACE ❑UNIT ❑•WALL ❑ FLOOR ❑ SUSPENDED .Micro Film Fee :Meth. Fee - LAUNDRY TRAY Use of Permit //.- � AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK' ' ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET t/ Legal Description COMPRES — 0 HP POLE, TEMP/PERM LAVATORY one p Type U " o f3,1. HEATING SYSTEM FORCED ❑GRAVITY AMPERES SERV ENT SHOWER � / BOILER B.T.U. SQ. -FT. a BATH TUB Pla o}/�J. Plan her. - SQ. FT. Ga ¢ WATER HEATER Sp. Insp. Fee Z SQ. FT. RESID (ja l v/ SEWAGE DISPOSAL D SQ. FT. GAR @ s/s¢ HOUSE SEWER Demol. Fee - $ GAS PIPING Registr. Fee PERMIT FEE PERMIT FEE PERMIT FEE $ DBL. I TOTA; Zf,S) to IMOB.HM-FET MICRO FEE MECWEE, PL. CK. FEECONST. FSE 01 ELECT. E Sff11 FEE f FEE PLUMB. FEE V PERMIT NO. Supp. Permit 506 Job Address Space ip Owner `� mmunity �/p %� V anon Dote /i3�. f F.C. MH Permit Fee $ .Micro Film Fee :Meth. Fee Cop $ Dbl $ Use of Permit //.- � Parcel No. - Use No. Ck.by. • Pl. Ck. Fee $ ' Set Backs Lot Size Construction Fee Dial $ t/ Legal Description D 440 X16 Electrical Fee Dbl $ one p Type U " o f3,1. SMI Fee $ � / Plumbing Fee Dbl $ Bond Amt. Pla o}/�J. Plan her. - Final Date Inspector Sp. Insp. Fee $ $ Demol. Fee - $ Const. Lender . Branch "I certify that in the performance of the work for which this permit is issued 1 shall - •• not employ any person in any manner so as to become subject to the workmen's com- Registr. Fee $ pensation laws of California." Mileage,Fee $ Address City Zip Owner Signoture Witness Fee $ _ A - Builder Signature Reinsp. Fee $ Ow /Age t / f. I. 4", Tel. _ Zip Tocol Fees A dress // � � C' - � Zip . M:O N. Cash ❑ec ❑ 3 D . / �S�O Y�/l/� J�•E.7�•�i Receive Contractor r Tel. License p ' Trees required Z Sewage System Address City Zip Workers* Comp. ' . f yes ❑, no ❑ /i� LL� THIS PERMIT SHALL BECOME VOID IF WORK IS NOT -COMMENCED WITHIN 1'20 DAYS. CESSATION OF verified by: Sewer District WORK FOR 120 DAYS S A US RMIT TO BECOME VOID. 3. I HEREBY AGREE.T L IN C�CTION WITH THIS PERMIT' WILL BE DONE IN ACCORDANCE f WITH THE LAWS OF -RIVERSIDE CO TY AND THE STATE OF CALIFORNIA. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS.DONE r "SO IN -ACCORDANCE WITH SECTION 5541 -OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF Form 284.208 (Rev. 477) ©s CALIFORNIA.