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A014763 GradingFIELD DEPARTMENT OF BUILDING & SAFETY _ PERMIT NO. PERMITTYPE COUNTY OF RIVERSIDE A014763 � Additional Information: FACTORY BUILT HOUSING MOBILE HOME INSTALLATION Manufacturer MH Manuf- New ❑ Model Designation Size Relocated ❑ Unit Serial No. Total Fees $ Plan Approval No. Insig. Serial No. Moving Sewage System T 1 1 D Permission is hereby granted to move the structure, described below, in Width Length Height Total Fees $ GRADING #1 Number of #2 Sections #3 Cut -A- 0 Fill 3,) 3 Total Fees $ J Present Location Community County RELOCATION INSPECTION Destination Present location Community County. Total Fees $ Total Fees $ Permit No. Job Address - SP # Zip Owner :' Plan Check t of Commumy �r �� Valuation $ Date S` /,j - Dist Off P.C. Reinspection- Use of Permit �� i� r ) Parcel No. Lot Size Factory- Built Set basks Uw Permit # Legal Description Grading Bond $ �_Zo; Grp Type Unit ckby Mobile home Engineer License Final Date # IT Pctor Env. Assmt. Requirement Relocations Escrow Company B am �?4/ TotoIFees $ Z �: Address . City Zip Cosh Check Ma rlc , O„yner/Agent Tel. 3 1 Reserved bysJ/ Date Address /� 1 City _ y Zip Related Permit(s) Contractor/Mover Tel. workers' comp. yes ❑ no ❑ Address City Zip I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become sub- ject to the workers' compensation laws of California Owner Signature Builder Signature FORM 284-208A 5-77 OM This permit shall become void if work is not commenced within 120 days- Cessation of work for 120 days shall also cause permit to become void. I hereby agree that all work in connection with this permit will be done in accordance with the laws of Riverside County and the State of California- I hereby certify that the Individual who prepared the plans and specifications has done so in accordance with Section 5541 of thesiness and Professions Code of the State of California. d Id IDLIJ ZE a:)IAJaS I sainlx!j 0£ 6U!PU09 96L aj!M 6u!puna0 V6L 6u!nM 6L aOUOJ4u3 a:)inJaS gL yinpuo7 LL alOd JamOd 9L S-IVAONddd WOM10313 3NI1 Aid3d08d i0 IIV38 awl 1 !'d JUol Tnuy 47, NOIlV001 V 3ZIS W31SAS 3E)VM3S NOIJLVWUOdN11VN011ldaV ON ysal sO0 pL aDIAJaSJalOM EL JaualloS'amm LL JaloaH JaloM LL jamaS OL losods!d a6omaS 6L sluan g L gwnld 46nod L L 6u!dId JayOM 9 L qwnld punou0 SL S-lVA0HddV JNl9 W n1d IDUM 7 L (um01g)6ullla) "1LI (51409)bu!llaD 9LL (suo91 sIIOM VL an 0 b A P!41 NOIl'dlflSNl apOJg gs!ui j E L IIOm/.J(l VL L glol loulayul L L g101 J0ualx3 L L '01 a:)oldaj!j VOL ID°!d EC l d a:ioldaji j 0 L POOH lopJawwOD L7 IIoM any a6mog 6 a:)!na0 uo!lua4a4 ajOwS IV syuan g jadwol]anj 0p 6ulwoid L anuojoalJ IddV 6£ Tad 4008 9 lossaidwo:) BE swoag PU09 9 nV uo!lsngwoD LE vpolg InouO p syal4n0 8 slalul 9E laalS E yiodwOD aDown j SE apoJO gDIS VL shn0 g swnuald hE swi j V shy L wayshS UO!IDI!ivan EE j3o9 laS I S'lVAONddV-IVOINVH03W S-IVA0HddV JNIa11n9 80103d SNI 31VO NOIlVH3dO ON NOIDadSNI 31V0 NOIIl..d0 ON PERMIT.MO. ERMIT`TYPE A014763 ditional Information: DEPARTMENT OF BUILDING & SAFETY COUNTY OF RIVERSIDE, FIELD OFFICE roll p' FACTORY BUILT _HOUSING MOBILE HOME INSTALLATION .Manufacturer MH`Monuf. New ❑ j Model Designation Size Relocated ❑ Unit Serial No. Total Fees $ Plan Approval No. is Insi.g. Serial No. Moving Sewage System T 1 1 p Permission is ;hereby granted; to move the structure, described below, in Width Length Height iTotal_Fees• $ GRADING #1 Number of A2 Sections. Cut Fill 3 i Total Fees $ j Present Location Community County," RELOCATION INSPECTION Destination ' Present location Community County Total Fees $ T;otol Fees $ e In t No A �. 4 7 3 -�, Job Address - r��-s�� �sF,Y��E SP #,. zip Ow/ner 2S f /r iYb.sv�t2 Plan CFieck D 00 Communi y ; . Valuation $ Date .� , --F/ Dist �/ Off P.C. :Reinspection Use of Per it if 4,00, %�/rye Parcel No. fD3 D -a31� Lot Size Factory- '.Built Setbacks Use Permit i! Legal. Description��pp #2C1t� � �,`G 36 7,s --r06 c S`dPZ Groding A Bond zone $ Grp Type U'n'it ck by Mobile home Engineer License # F'nal ' Date - - Inspector, Env. Assmt. "t]Requirement ` Relocations. Escrow.;Company, Bra Tota l Fees $ Z.pA Address -7„ r, d,. City- Zip Cosh I Check- MO 4c O. ner/Agerit / .G /1 ✓LIS �O Tel. Z .Re • d by Date Ad -.ess d %O c�0 Cl y _ v Tri• Zip .z �` Related Permitis) Contractor/Mover Tel. workers' comp. yes ❑ no Address City Zip I certify "that in the performari6rT ©i the work for which this permit is This permit shall become void if work is not- commenced within 120 days. Cessation of work for 120 days `issued I shall not employ any person irnony manner so as to become sub: shall also cause permit to become void, .jeer to the workers' compensation laws of California. Thereby agree that all work in connection with this permit will be done in accordance with the laws of Riverside. County and the Sfare'of California, I.hereby certify that Iheindividual who prepared the plans and Owner Signature specificotions hos-done sq in accordance with Section 554.1' of the Business and Professions Code of the Builder.Signature State.of California. FORM 284.208A 5.77 QM