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268191 (BLCK)
BUILDING PERMIT DEPARTMENT OF. BUILDING & SAFETY COUNTY OF RIVERSIDE CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES UNITS 131 FL. SOFT. @ IDLE METER 2ND FL. SQ. FT. @ 0 B.T.U. SO. FT. @ MOBILEHOME SVC. POR. GAR. SQ. FT. @ POWER OUTLET CAR P. SQ.FT. @ SHOWER SQ. FT. @ M H PERMIT FEE WALL G fiR'2L BATH TUB SO. FT. @ SQ FT @ ¢ ESTIMATED CONSTRUCTION VALUATION $ ROOMS NOTE: Not to be used as property tax valuation SWIM POOL, PVT MECHANICAL FEES SWIM POOL. COMM VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN PERMIT FEE APPLIANCE / GAS PIPING FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Is FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERM SVC WATER CLOSET COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER BOILER � B.T.U. M H PERMIT FEE SQ FT @ ¢ BATH TUB COMMUNITY • SQ FT @ ¢ WATER HEATER ROOMS VALUATION SQ FT RESID @ 1 ¢ SEWAGE DISPOSAL SQ FT GARAGE @ 'hrt HOUSE SEWER PERMIT FEE /J / GAS PIPING MOBILE HOME PERMIT FEE Is IPERMIT FEE PERMIT FEE PERMIT NO. 26819�= TOTAL FEES MOB. HM.FEE MICRO FEE MECH. FEE DBL. PL. CK. FEE 7--Z7 MECHANIGAL FEE ECT. FEE DBL. SMI FEE FEE PLUMB. FEE DBL. J I F I M A I M I J I J A 1 S 1 Q 1 N I D JOB ADDRESS SP NO OWNE 74 7S USF O P/,EERMIL F.C. DATE PE MIT NO 68191 76 dx47�G4r�n�.�/ �1,��f /-;ca-'%� M H PERMIT FEE $ COMMUNITY • DST UNITS ROOMS VALUATION SUPP. TO PERMIT OFFICE /'+ 69V 7-'4 /J / /`1 a I MICROFILM FEE COPIES $ LEGAL DESCRIPTION 72L;-�73 -A,7.?— 01,3 .Cad '/ - !'i,(- /S,2 / ✓civ Tif- MECHANIGAL FEE DBL $ SET BACK LOT SIZE ZONE USE NO. GRP TYPE CK BY lFINAL F S R PLAN CHECK FEE $ BOND AMT. PLAN NO. PLAN CHECKER DATE IN ECT R CONSTRUCTION FEE DBL $ NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOL D Is", as ELECTRICAL FEE DBL $ ADDRESS CITY STATE STRONG MOTION $ OWNER/AGENT'S SIGNATU T CONTRACTOR INSTRUMENTATION FEE„73 $ ADDRESS/ ADDRESS FEE �JJ, 157,9-,5 -� l / f 4 �fC'RAZE A PLUMBI NGFEE DBL $ GITYZIP CODE CITY ZIP CODE // ;; N 7 4 C /'4 / '4 t/i . TOTAL FEES 0 1f)1-51, $ ® TEL. NO. LICENSE CASH CHECK ❑ M.O. ❑ N.C. ❑ J— THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSA / 'tT�ION OF WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. RECEIVED BY TREES TREES REQUIRED I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE LN AC CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSC -� SEWAGE SYSTEM T LL d' P AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE —C — TUC CTATC — r- n i[C-11A r-rwCm nate r -r [—AST—C IC AiC^r- IADAKITCCM I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS FORM 284-208 (Rev. 10-74) ©L HAS DONE SO IN ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. J