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174848 (SFD)
DEPARTMENT OF BUILDING & SAFETY 0 COUNTY OF RIVERSIDE 0 FIELD OFFICE `4I CONSTRUCTION ESTIMATE SET BACK ELECTRICAL FEES PLUMBING FEES 1st FI. 2nd FI. Par. Gar. Car P. Wall . Sq. Ft. @ J NO. NO. Sq. Ft. @ / OUTLETS Sq. Ft. @ AIR HANDLING UNIT Sq. Ft. @ %r POLES SUB -PANEL Sq. Ft. @ ' SIGNS DRAINAGE PIPING Sq. Ft. @ T SCL ND/ DRINKING FOUNTAIN 14_ORA Sq. Ft. @ �MOTOR H. P. URINAL MOTOR H. P. WATER PIPING ESTIMATED VALUATION 11 a MOTOR H. P. FLOOR DRAIN MECHANICAL FEES MOTOR H. P. WATER -SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOODMOTOR SET BACK H.P. WASHER (AUTO) ISH) "f 'S APPLIANCE JOB ADDRESS OWNER FIXTURES GARBAGE DISPOSAL FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNIT DATEL SUB -PANEL KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL WATER CLOSET COMPRESSOR E=�HP NGE AND/OR OVEN LAVATORY APPLIANCE VENT ' WATER HEATER SHOWER ABSORPTION SYSTEM D B.T.U. F. UNITS SPACE HEATER vvv BATH TUB INCINERATOR DOMESTIC ❑ INDUS. ❑ COMM. /7 CONSTRUCTION POLE WATER HEATER HEATING SYSTEM W_ FORCED ❑ GRAVITY C © ! SERVICE ENTRA/.FW / SEWAGE DISPOSAL BOILER B.T.U. A, RESID. 19! SO. FT. HOUSE SEWER PERMIT FEE . GARAGE z SO. FT. GAS PIPING PERMIT FEE PERMIT FEE P R T U E REN. DBL. fTOTAL FEESHEAT IN VENT FEE PLN. CK. FEE CONST. FEE ELEC. FEE PLUMB. FEE 17 a r M _ P: _ _ - M _ J _ .. J A. _ ._ _ __1. ___ _ _____ o w SET BACK LOT SIZE USE V JOB ADDRESS OWNER S R ZONE USE F BUILDI G DATEL PLAN CHECK FEE $ / ' CNEC KED BY COMMU ° DI 1 F. UNITS VALUATION OFFICE °+ MECHANICAL FEE $ /7 , ,'�.,..yt.- L ' X GROTYPE 47 LEGAL 1 BN 174848 PER IT NUMBER CONSTRUCTION FEE $ 57 SPEC. INS P. r '' SUPP. TO PERMIT ELECTRICAL FEE $� '--I nt—jN&.AfA7'3 torh 7 7-Y �p z t/—,If J It O PLAN CHECKER B�`It'� BOND CASH [PLAA FILE it- PINAL DATE CTOR PLUMBING FEE $ -70 JINSP - TOTAL FEES THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED % WITHIN 60 DAYS. CESSATION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS -, CASH CHECK 4 M.o. N.C. RECEIVED BY SEWAGE SYSTEM PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVER- SIDE COUNTY AND THE STATE OF CALIFORNIA. I ALSO AGREE TO T LL CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLI- ANCE WITH LAWS OF THE STATE OF CALIFORNIA COVERING CON- TRACTORS IS ALSO GUARANTEED. . NAME OF CONSTRUCTION LENDER jC0 OWNER TRACTOR OFFICE ; rBRANCH SS AD RES -" ADDRE S + � S ATE NDER INVOLVED dv! e_ INFORMATION EL. •f TEL. NO. L1/N O. 84-208 12/88 VVVV