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351116 (ELEC)
BUILDING PERMIT / DEPARTMENT OF BUILDING & SAFETY FIELD OFFICE PERMITNO. 3511 16 PERMIT NO. 3511 16 ` COUNTY OF RIVER51DE ] FI L - CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO, PLUMBING FEES 1ST FL_ 2ND FL, FOR, GAR. SQ. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. @ $ UNITS SQ. FT. Ca YARD SPKLR SYSTEM SQ. FT. @ MOBILEHOMESVC-BAR SINK FT. G POWER OUTLET ROOF DRAINS SQ. FT. @ DRAINAGE PIPING SQ. FT. C C/✓3% .S✓L se7J DRINKING FOUNTAIN SQ. FT. Ca URINAL VALUATION is WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER MH Permit Fee E VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER (AUTO) (DISH) Cap E APPLIANCE ❑ DRYER GARBAGE DISPOSAL Use of Permit FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY No AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK Ck by 5 ABSORPTION SYSTEM � B T U TEMP USE PERMIT SVC WATER CLOSET PI Ck Fee E COMPRESSOR 0 HP POLE, TEMP/PERM LAVATORY I Lot Size HEATING SYSTEM ❑ FORCED ❑ GRAVITY AMPERES SERV ENT SHOWER Construction Fee Dbl E BOILER � B.T.U. SQ. FT. G ¢ BATH TUB F SQ. FT. G ¢ WATER HEATER S SQ. FT. RESID Ga 1'44 SEWAGE DISPOSAL Electrical Fee Dbl E / SQ, FT, GAR G '/,¢ HOUSE SEWER Grp GAS PIPING Unit PERMIT FEE PERMIT FEE PERMIT FEE DBL. I TOTAES lmoB HM..FEE MICRO FEE MECH FEE PL, CK. FEECONST. FEE ELECT, FEE SMI FEE FEE PLUMB. FEE PERMITNO. 3511 16 Supp. Permit 3�0�3� Job Address Space %—Sep C�Hc cc - �dTjct ,G0 PP Owner a ate' .J /1'/GT Community Valuation E Date //� Disl. Off. F.0 MH Permit Fee E Micro Film Fee Cap E Use of Permit ParcelNo-Use / ��� —4 No Ck by 5 Mech. Fee Dbl E PI Ck Fee E Set Barks I Lot Size Construction Fee Dbl E Legal Description f—/ �� �r7 F 5 S R Electrical Fee Dbl E / Zonef r Grp Type Unit SMI Fee E Plumbing Fee Dbl E Bond Amt. E Plan No. Plan Checker�'o ''`7 In mor f� Sp. Insp. Fee E Demol Fee E Const. Lender Branch 'I certify that in the performanceof .. work for which this no! employ any person in dny manmr 1 to become subiect pe•salion In— of Crlifornia Addrom % J���. Owner Signature .FG' Builder$:ff+u:tlir- permit is issued I shall to the workmen's com Reg istr, Fee E Mileage Fee E Witness Fee E Reinsp Fee E OwrrerlAgent -:f ,1 /�/�T Tel_ �o& �� Zip 7-7 Total Fees 1 E / Address 73 `�</ .i Clty Zip M.O ❑ N.0 ❑ Cash ❑4eckilM Received by Controctar Tel License # Trees required Sewage System T. LL P Address City Zip Workeri Comp. yes ,❑ no TH15 FE9MIT SNAIL BECOME sJ-1 IF WORK IS NOT COMikAENCED WITHIN 120 DAYS. CESSATION OF WORK FOR 12.0 DAYS SHALL 1,L�5E T rU OME VOID HEREBY' A( RE= THAT ALL 1^ v ]Pl CIU i Ttf15 PERMIT WILL BE DONE IN ACCORDANCE. WIT THE LA AS OF RIL'nR5161 COUhJTY AND 7'I SPATE C]F CALIFQRN IA. SO �rHEREBY CERTIFY THAT THE INDIVIDUAL WHO PREPARED THE PLANS AND SPECIFICATIONS HAS DONE o ACCORDANCE WITH SECTION 5541 OF THE BUSINESS AND PROFESSIONS CODE OF THE STATE OF CALIFORNIA. verified by Sewer District + Form 284-208 (Rev. 4.77) ©s