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215834 (SATT)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFET J& is COUNTY OF RIVERSIDE FIELD OFFICE VENT sys-rEMft FAN ❑ EVAP. COOL ❑ HOOD CONSTRUCTION ESTIMATE ELECTRICAL FEES PLUMBING FEES A 1ST FL. 2ND FL, POR. GAR. CAR P. WALL 23* SQ. FT. @ l3w4CI31 1, NO. NO. SQ. FT. Co) FIXTURE OR SOCKET SQ. FT. @ L• MOTOR 1 OR LESS H.P. GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL SQ. FT. @ MOTOR 5 OR LESS H.P. WATER CLOSET SQ. FT. @ MOTOR 20 OR LESS H.P. DRAINAGE PIPING SQ. FT. @ DRINKING FOUNTAIN SQ. FT. Ca URINAL OK.W.UNITS WATER PIPING ESTIMATED VALUATION $ INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. FLOOR DRAIN WATER HEATER MECHANICAL FEES SQ. FT. RESID. @ 1 Q WATER SOFTENER VENT sys-rEMft FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUT (DISH) APPLIANCE DrylT 3 TRANSFORMER =K.W. GARBAGE DISPOSAL FURNACE❑UNIT ❑WALL❑FLOOR ❑SUSPENDED OUTLETS LAUNDRY TRAY AIR HANDLING UNITI CFM FIXTURE OR SOCKET KITCHEN SINK GAS PIPE ❑ NATURAL ❑ L.P.G. ❑ OIL CONST. SERV. ENTRANCE WATER CLOSET COMPRESSOR Z E=j= HP POLE LAVATORY APPLIANCE VENT AMPERES SERV. ENT. SHOWER ABSORPTION SYSTEM E== B.T.U. SQ. FT. @ Q BATH TUB INCINERATOR ❑ DOMESTIC ❑ INDUS. OR COMM. SQ. FT.@ Q. WATER HEATER HEATING SYSTEM2 be FORCED ❑ GRAVITY R Inn SQ. FT. RESID. @ 1 Q SEWAGE DISPOSAL BOILER B.T.U. SQ. FT.GARAGE @ ''z HOUSE SEWER PERMIT FEE 31MI 1 BALANCE OF MIN. FEE GAS PIPING MOBILEHOME HOOKUP FEE $ PERMIT FEE 72 PERMIT FEE PERMIT NUMBER TOTAL FEES MOB. HOOK FEE NEAT B VENT FEE 74 PL. CK. FEE CONST. FEE DBL ELEC. FEE DBL FEE PLUMBING FEE DBL MOBILEHOME $ • LEGAL ESCRIPTION HOOKUP FEE JDBL� J S BA ""-MT J J F M A M J J A S O N D .JOB ADDRESS OWNER 72 n 73 1 1 US LD NG �;�F DA - PERMIT NO. 215834 74 fa�.G 75 COMMUNITY DST UNITS OOj'VALLTA_-hZM SUPP. TO PERMIT OFFICE 76 MOBILEHOME $ LEGAL ESCRIPTION HOOKUP FEE DBL S BA ""-MT SIZE ZONE TYPE CK BY MECHANICAL FEE $ JUSENO. JGRIP 1 F S R 011,111% BO AM . LAN PLAN CHECKER DATE IN,S'�ECTOR - PLAN CHECK FEE $ �,NAL _� U ` 3 N -V. - DBL NAME OF CONST. LENDER BRANCH OFFICE NO LENDER INVOLVED - CONSTRUCTION FEE $ 116 50 T RANK DBL S CI STATE ELECTRICAL FEE $ $ 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. FEE I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE ACCORDANCE WITH THE LAWS OF RIVERSIDE COUNTY AND THE STATE OF CALIF - DBLIN PLUMBING FEE ORNIA. 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 ANDSPECIFI- TOTAL FEES $ CATIONS HAS DONE SO IN ACCORDANCE WITH SECN41 p( i(HEUSI ESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. CASH ❑ CHECK U�K M.O. ❑ N.C.-El OWNER CONTRACTOR Received ByC4 .e_ ADDRESS + �� Sewage System T LL P CITY Y Trees Required Yes No TEL. NO. LICENSE ft23 a INFORMATION vJ+s lY FORM 284-208 (REV. 4/71)