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303901 (SATT)Il BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY PERMIT NO. COUNTY OF RIVERSIDE "I WOM CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES 1 ST FL. _ SQ. FT. 8 $ UNITS 2ND FL. SQ. FT. POR. SQ. FT. @ a MOBILEHOME SVC. GAR. SQ. FT. 8 ob. POWER OUTLET CAR P. SQ. FT. (a} l WALL SQ. FT. SQ. FT. Ca3 ESTIMATED CONSTRUCTION VALUATION $ pp NOTE: Not to be used os property tax valuation Ica/ SWIM POOL, PVT FIELD OFFICE NO. PLUMBING FEES YARD SPKLR SYSTEM BAR SINK ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL WATER PIPING FLOOR DRAIN PERMIT NO. 303001'JC MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER j � Dist. '^}Off. F.C. len ,! VENT SYSTE FAN ❑ EVAP. COOL HOOD SIGN WASHER (AUT4) (DISH) MH Permit Fee Ey/N!R APPLIANCE DRYER Use of Permit �► Legal Description ��- T9s- GARBAGE DISPOSAL se No. Ck.by Lot Size d .S"S Unit FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Construction Feipa Dbl E Electrical Fee Dbl E SMI Fee E LAUNDRY TRAY Dbl E E AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Finol Date ABSORPTION SYSTEM O B.T.U. TEMP USE PERMIT SVC WATER CLOSET E COMPRESSOHP EFanch7 '1 certify that to the performance of the not employ any person in any monner so as pensation laws of California City Zip Owner Signature Budder Signoture POLE, TEMP/PERM LAVATORY Mileage Fee E HEATINGSY E FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Owner/Agent BOILER B.T.U. SQ. FT. p ¢ BATH TUB Total Fees E - M.O. ❑ N.C. ❑ Cosh Chec Address SQ. FT. Ga ¢ WATER HEATER Pal Zip Received by Trees required SQ. FT. RESID Ga 1'/.¢ SEWAGE DISPOSAL ^ Tel. �Ga• r' license p it ZI SQ. FT. GAR Cai t/.¢ HOUSE SEWER A ress r City Zip Workers' Comp. y!,,yq!,,o no 01 GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE DBL.TOTALFEES MOB. HM. FEE MICRO FEE C E 111L. CK. FEE CONST. FEE EL T. EE SMI FEE FEE P E PERMIT NO. 303001'JC Supp. Permit Job Address 7 (i / 2 3 7-04065::.o oill(AafigeMME unity- Space Zip Owner Valuation Dote E 1.� V j � Dist. '^}Off. F.C. len ,! MH Permit Fee Ey/N!R Micro Film Fee Cop E Use of Permit �► Legal Description ��- T9s- Parcel No. of _ ,,.�, ' ` � Set Backs F FD Zone Grp Type se No. Ck.by Lot Size d .S"S Unit Mech. Fee Dbl E'�j' PI. Ck. Fee $ Construction Feipa Dbl E Electrical Fee Dbl E SMI Fee E Plumbing Fee $p. Insp. Fee Dbl E E Bond Amt. E r Plan No. / Pion Checker Finol Date Inspecto ��` Demol. Fee E Const. Lender Address EFanch7 '1 certify that to the performance of the not employ any person in any monner so as pensation laws of California City Zip Owner Signature Budder Signoture work for which this permit is issued I shalt to become subject to the workmen s com- Registr. Fee E Mileage Fee E Witness Fee E Reinsp. Fee E Owner/Agent Tel. Zip Total Fees E - M.O. ❑ N.C. ❑ Cosh Chec Address + City Zip Received by Trees required Contractor �N Tel. �Ga• r' license p Sewage System • AI(^ A ress r City Zip Workers' Comp. y!,,yq!,,o no 01 "'T— LL P Sewer District For. 284.208 (Rev. 4.771 ©S THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS. CESSATION OF verihed by l !II FOR t20 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. k I HEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE t 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 THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA