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341118 (SFD)BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY Aft FIELD OFFICE PERMIT NO: 3 4111 PERMIT NO. 34111 Job Address Space Zip -, r � Owner COUNTY OF RIVERSIDE ` Community _ Valuation DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1ST FL. 2ND FL. POR. GAR. CAR P. WALL ESTIMATED CONSTRUCTION SQ. FT. Q $ UNITS Use of Permit cyrLa2r1 /=?/I'%f % 4 Parcel No. s :77tZit SQ. FT. YARD SPKLR SYSTEM Ck.by SQ. FT. (a}_ MOBILEHOME SVC.. BAR SINK PI. Ck. Fee $ POWER OUTLET ROOF DRAINS SQ. FT. (a3 I Lot Size .S SQ, FT. 6 DRAINAGE PIPING Legal Description ry '+�'!j/ ` // .e,Gs?/` SQ. FT. Q DRINKING FOUNTAIN SQ. FT. URINAL VALUATION $ WATER PIPING FF NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER Plan Checker VENT SYSTEM ❑ FAN ❑ EVAP. COOL ❑ HOOD SIGN WASHER fAUTO1(DISH) Sp. Insp. Fee b APPLIANCE ❑ DRYER Const. Lender Branch I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the workmen's cam. p—sanon lows of California. Address City Zip Owner Signature Budder Signature GARBAGE DISPOSAL Mileage Fee E FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED Reinsp. Fee E LAUNDRY TRAY Tel. Zip / Total Fees y Address K City Zip +,. M.O. ❑ N.C. ❑ Cash ❑ Check Received by Contractor Tel. License N , Trees required Sewage System � LL P Sewer District Farm 284.208 (Rev. 477) ©s Address City Zip Workers' Comp. yes C] no ❑ THIS PERMIT SHALL BECOME VOID IF WORK IS NOT COMMENCED WITHIN 120 DAYS, CESSATION OF ver.fted by. WORK FOR 120 DAYS SHALL ALSO CAUSE PERMIT TO BECOME VOID. IHEREBY AGREE THAT ALL WORK IN CONNECTION WITH THIS PERMIT WILL BE DONE IN ACCORDANCE WITH THE LAWS OF RIVW.SIDE 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.