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272675 (SFD)DST /r VENT SYSTEM ❑ FAN ❑ EVAP. COOL '❑ HOOD ,? -, < , SIGN FIELD OFFICE BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY 75 COUNTY OF RIVERSIDE F. C. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO-. PLUMBING FEES I ST FL. �U 1U SQ.FT. @/ 7 -^ Ae J �Cv `--� UNITS LAUNDRY TRAY SQ. FT. @ M H PERMIT FEE YARD SPKLR SYSTEM 2ND FL. ti SO. FT. @^� ' �"' � 4— MOBILEHOME SVC. �'✓+✓ BARSINK POR. � � _ SQ. FT. ®G..- POWER OUTLET ROOF DRAINS GAR. 41 ISO.Fl. @ WATER CLOSET DRAINAGE PIPING CAR P. FT. @ POLE, TEMP/PERM DRINKING FOUNTAIN WALLSQ. ___dSQ FT @ HEATING SYSTEM {[j FORCED ❑ GRAVITY URINAL ESTIMATED CONSTRUCTION VALUATION $ / ,)�� G i WATER PIPING NOTE: Not to be used as property tax voluotion SWIM POOL, PVT FLOOR DRAIN MFCHANICAI FFFS SWIM POOL. COMM WATER SOFTENER DST /r VENT SYSTEM ❑ FAN ❑ EVAP. COOL '❑ HOOD ,? -, < , SIGN OWNER WASHER (AUTO) tDTSF1r J� j APPLIANCE '4' r "a 75 GARBAGE DISPOSAL F. C. DATE FURNACE ❑ UNIT ❑ WALL ❑ FLOOR 0 SUSPENDED 76 76 -� LAUNDRY TRAY 2M675 M H PERMIT FEE AIR HANDLING UNIT CFM $ IDLE METER COMMUNITY KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. VALUATION TEMP USE PERM SVC OFFICE WATER CLOSET COMPRESSOR HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM {[j FORCED ❑ GRAVITY AMPERES SERV.ENT SHOWER BOILER O B.T.U. SQ FT @ ¢ BATH TUB �2 J SQ FT @ C / WATER HEATER $ LEGALDESCRIPTION SQ FT RESID 7�j �/ ter, f SEWAGE DISPOSAL �� 7 :7j— 7 'MECHANICAL 41V,; SQ FT GARAGE @%1 HOUSE SEWER �-"� MECHANICALFEE PERMIT FEE -a7 \>(i $ % GAS PIPING LOT SIZE ZONEUSE MOBILE HOME PERMIT FEE Is I I f I PERMIT FEE () I PERMIT FEE ER51gO� b 21 / TOTAL FEES � OB. HM.FEE MICRQ FEE�� MECH.FEE DBL I PL CK. FEE CONST. FEE DBL. E;ECT.FF�( DBL. SMIFE FEE PLUM B F�„ � DBL. J F M A M J J A S O N 0 �uB ADuaEss Srrv0 OWNER `USE 75 OF PERMIT F. C. DATE P 76 76 -� 2M675 M H PERMIT FEE $ COMMUNITY DSTU)i7 OOMS VALUATION SUPP, TO PERMIT OFFICE MICROFILM FEE COPIES $ LEGALDESCRIPTION / �� 7 :7j— 7 'MECHANICAL . �-"� MECHANICALFEE DBL $ SET BACK LOT SIZE ZONEUSE NO. GRP TYPE CK BY / 4 IJ3 ¢ j PLAN CHECK FEE $ BOND AMT.PLAN NO. l PLAN CHECKER FINAL DATE I IN�pE TOR / I 1G-L� �% CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED ELECTRICAL FEE DBL $ ADDRESS CITY STATE �' STRONG MOTION $ OWNER/AGENT'S SIGNATURE CON yt OR INSTRUMENTATION FEE $ ADDRESS ADDRESS FEEX ! PLUMBING FEE DBL $ CITY ZIP CODE CITY ZIP CODE TOTAL FEES $ 7, TEL. NO. LICENSE CASH ❑ CHECK Q/ M.O. ❑ N.C. Q j THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN/ 120 DAYS. CESSA ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY / �^'�• TREES REQUIRED i`� I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC TO EMPLOYEES. COMPLIANCE WITH THI i SEWAGESYSTEM {�„n LL F�/�G%,T AGREE CARRY COMPENSATION INSURANCE UPON MY 1A\A/C ,C TUC CT A TC,1C!•A I I Cl DAll A !'ll\/COIAII`/' Kl ArT(ADC IC A I C!1(_I I A DA KITCCn I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) (DL HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF'THE STATE OF CALIFORNIA.