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303892 (SATT)BUILDING PERMIT 4M& DEPARTMENT OF BUILDING 8 SAFETY . dg, FIFLn AFFICF I jr— _ PERMITNO. PERMIT NO92] 1PCOUNTY OF RIVERSIDE (141 Space I Zip Owner <2— DST 303$92 3939. CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES Community NO. PLUMBING FEES IST FL. SQ. FT. $ of on Date tzt VOff. J�Vz.vlf s� w• UNITS MH Permit Fee $ T 2ND FL. SQ. FT. @ Cop $ UsYdflPerfirit YARD SPKLR SYSTEM POR. SQ. FT. @ Q1 Ck.by MOBILEHOME SVC. Pl. Ck. Fee BAR SINK GAR. SQ. FT. fA AJ POWER OUTLET t ock Loi ize - ROOF DRAINS CAR P. SQ. FT. @ Dbl $ Legal Description DRAINAGE PIPING WALL SQ. FT. @ -Electrical Fee $ DRINKING FOUNTAIN SQ. FT. @ Zone Grp Type Unit URINAL ESTIMATED CONSTRUCTION VALUATION $ WATER PIPING NOTE: Not to be used as property tax valuation Plumbing Fee SWIM POOL, PVT Wo—nii Amt. FLOOR DRAIN Final D Inspeecct'orr MECHANICAL FEES $p. Insp. Fee SWIM POOL, COMM 8J17,( WATER SOFTENER VENT SYSTEV ❑ FAN ❑ EVAP. COOL 1 ❑ HOOD SIGN $ WASHER (AUTO) (DISH) APPLIANCE ❑ DRYER dg Registr. Fee 8 GARBAGE DISPOSAL Address FURNACE ❑ UNIT ❑ WALL FLOOR ❑ SUSPENDED City - pensation laws of California. Zip Owner Signature LAUNDRY TRAY Witness Fee $ AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Budder Smnoture ABSORPTION SYSTEM O B.T.U. Reinsp. Fee TEMP USE PERMIT SVC Owner/Agent WATER CLOSET COMPRESSOR HP Tel. POLE, TEMP/PERM LAVATORY $ HEATING SYSrEj�!Jn FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Zip BOILERB.T.U. SQ. FT. 8 a BATH TUB Received SQ. FT. Cw ¢ Contractor�t WATER HEATER �� f Tel. License # SQ. FT. RESID Ga 1'/.¢ Trees SEWAGE DISPOSAL SQ. FT. GAR Cw 1/.¢ ! HOUSE SEWER Sewage System eziOf A ress GAS PIPING PERMIT FEEPERMIT Comp. FEE PERMIT FEE DBL. TOTAL FEES MOB. HM. FEE MICRO FEE EA. FEE PL. CK. FEE CONST. FEE CT. FEE SMI FEE FEE MB. FEE I jr— _ PERMITNO. Supp. Permit Job Address (141 Space I Zip Owner <2— 1 303$92 Community of on Date tzt VOff. J�Vz.vlf s� w• MH Permit Fee $ Micro Film Fee Cop $ UsYdflPerfirit IrParcel No. v _�I .3 Use Ncy , � �J( ,� Ck.by Mech. Fee Dbl $ fl Pl. Ck. Fee $01 AJ 47-77, t ock Loi ize - Construction Fee Dbl $ Legal Description F -Electrical Fee $ Zone Grp Type Unit SMI Fee $ Plumbing Fee 8 Jfo [Db Wo—nii Amt. -%Pft9 No. PIor Checker - Final D Inspeecct'orr $p. Insp. Fee 8 8J17,( Dental. Fee $ Const Lender Branch I certify that to tthe performance of the work for which this permit is issued I shall not employ any person to any manner so as to become subject io the workmen s com- Registr. Fee 8 Address City - pensation laws of California. Zip Owner Signature Mileage Fee 8 Witness Fee $ Budder Smnoture Reinsp. Fee $ Owner/Agent Tel. Zip Total Fees $ Address City Zip M.O. ❑ N.C. ❑ Co ❑ Check, Received Contractor�t �� f Tel. License # Trees re ed Sewage System eziOf A ress i' City Zip Workers' Comp. iyews A no ❑ T LL P Sewer District -i• - _ . iz� Farm 284.2081Rev. 477) ©s 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 THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. t—f,ed by.