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239594 (AR)BUILDING PERMIT 1STFL. :r v SO. FT. @f���� 2ND FL. } SO. FT. @ POR. RECEIVED BY SQ. FT. @ GAR. DBL SQ.FT. @ CAR P. SQ. FT. @ WALL DBL SQ.FT. @ 284-208 (Re, 11/72) SQ. FT. @ ESTIMATED CONSTRUCTION VALUATION $ DEPARTMENT OF BUILDING I& SAFETY COUNTY OF RIVERSIDE a .ELECTRICAL FEES - T<f'� NO. MOTOR I OR LESS H.P. MOTOR 5 OR LESS H.P. MOTOR 20 OR LESS H.P. NOTE: Not to be used os property tax vol Lotion .0 MECHANICAL FEES VENT SYSTEM ❑ FAN ❑EVAP. COOL ❑ HOOD APPLIANCE FURNACE ❑UNIT ❑WALL ❑FLOOR ❑SUSPENDED AIR HANDLING UNIT I CFM GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL COMPRESSOR 0 HP APPLIANCE VENT ABSORPTION SYSTEM 0 B.T.U. INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. HEATING SYSTEM ❑ FORCED ❑GRAVITY BOILER 0 B.T.U. PERMIT FEE MOBILE HOME HOOKUP FEE Is 23 PN L!'S MOB HK. FEE MICR .......■ -.■■...■ MECHANICAL FEE DBL $ PLAN CHECK FEE } $ CASH CHECK ( M.O. ❑ N.C. ❑ RECEIVED BY SEWAGE SYSTEM CONSTRUCTION FEE DBL $ P TREES REQUIRED 9 �}}V ELECTRICAL FEE DBL $ 284-208 (Re, 11/72) l SMI FEE $ 3 $ • FEE j PLUMBING FEE DBL $ K.W. UN SIGN TRANS- K W. FORMER OUTLETS FIXTURE OR SOCKET CONST. SERV. ENTRANCE POLE AMPERES SERV. ENT. SQ. FT. @ Q SQ. FT. @ Q -w,;50. FT. RESID.@14 SO. FT. GARAGE @,1�2Q BALAt4CE OF MIN. FEE PERMIT FEE MECH. FEE 1111L, I PL. CKf FEE CONST. FEE Gti r' JOB ADDRESS LEGAL DESCRIPTION SETBACK LOT FIELD OFFICE PLUMBING FEES DST r DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN WATER SOFTENER WASHER (AUTO) (DISH) GARBAGE DISPOSAL LAUNDRY TRAY KITCHEN SINK WATER CLOSET LAVATORY SHOWER BATH TUB WATER HEATER SEWAGE DISPOSAL HOUSE SEWER GAS PIPING ,00 1 PERMIT FEE ELECT. FELE DBL. SMI FEE FEE PLUMB. FEE DBL. ��oc7� k3 F.C. DATEPERMZ� � 5 9 4 ".21 //- .fie 7. 15 I VALUATION UPP. TO PERMIT OFFICE ONE USE NO. GRP I TYPE ICK BY 9—) A_. _ _ .NO LENDER INVOLVED DDRESS I CITY I STATE THIS PERMIT SHALL BECOME VOID 1F WORK IS NOT COMMENCED WITHIN 60 DAYS. CESSA- TION 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 AC- CORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIFORNIA, I ALSO AGREE TO CARRY COMPENSATION INSURANCE UPON MY EMPLOYEES. COMPLIANCE WITH THE LAWS OF THE STATE OF CALIFORNIA COVERING CONTRACTORS IS ALSO GUARANTEED. I HEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE SO IN ACCDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS- CODE F THE STATE OF ALIFORNIA, e WNER. �.!,}`f� / CONTRACTOR DDRESS�J �r ��� f� @ ADDRESS ITY f 4 ! CITY EL. NO. TEL. NO. LICENSE if