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303672 (SFD)
BUILDING PERMIT DEPARTMENT OF BUILDING & SAFETY -,\ PERMIT HD. J036 j COUNTY OF RIVERSIDE DST CONSTRUCTION ESTIMATE NO. ELECTRICAL FEES NO. PLUMBING FEES 1 ST FL. SQ. 2ND FL POR. SQ. GAR SQ. CAR P. SQ. WALL SQ. ESTIMATED CONSTRUCTION FT/ SQ. FT, Ca, rOO FT. ; FT @ FT. +6-0 FT. Ca} SQL FT- @ VALUATION dQ r� UNITS YARD SPKLR SYSTEM MOBILEHOMESVC. BAR SINK POWER OUTLET ROOF DRAINS DRAINAGE PIPING DRINKING FOUNTAIN URINAL CMF WATER PIPING NOTE: Not to be used as property tax valuation SWIM POOL, PVT FLOOR DRAIN MECHANICAL FEES SWIM POOL, COMM WATER SOFTENER VENT SYSTEM ❑ FAN ❑ EVAP. COOL HOOD eS� SIGN WASHER IAUT HI :54t!> APPLIANCE DRYER 70 GARBAGE DISPOSAL �Q FURNACE ❑ UNIT ❑ WALL ❑ FLOOR ❑ SUSPENDED LAUNDRY TRAY AIR HANDLING UNIT CFM IDLE METER KITCHEN SINK flo ABSORPTION SYSTEM 0 B.T.U. TEMP USE PERMIT SVC WATER CLOSET 7C COMPRESSOR HP POLE, TEMP/PERM LAVATORY tic> HEATING SYSTEM FORCED ❑ GRAVITY 19 7!P pep& (2 AMPERES SERV ENT SHOWER BOILER � B-T.U. - SQ. FT. Ca, ¢ BATH TUB SQ. FT. @ ¢ WATER HEATER SQ. FT. RESID Ge 1'/.¢ SEWAGE DISPOSAL no SQ. FT. GAR C4 '/.¢ HOUSESEWER GAS PIPING PERMIT FEE PERMIT FEE PERMIT FEE X� DBL. I TOTAL %71'76J MOB, HIM FEE MICRO FEE CH. FEE �o PL. GK. FEE I CONST. FEE �� moo ELECT. FEE p- SMIFEE �.& FEE I00 PLUMB. FEE PERPAM NO, ' 0. Supp. Permit Job Address r - I ,41le A/ 4 �,4da Space Zip 5 Owner ' r � e-,- Community Valuation pa _ Date �� Dist r Off F C. i MH Permit Fee b Micro Film Fee Cop b Use of Permit l./ /'7 Q� Parcel No. 7fi73 Use No N-by Mech. Fee Dbl b '-:E� PI. Ck- Fee $ Set Backs Lot Size 160>000 Construction Fee Dbl S Cy Legal Description 4� d �/� �/� /C/ C/G rV r� f to ✓ //'-�� S S R,C/ Electrical Fee Dbl b Zone / Grp �� z J Type Unit - ,jfJ •'SMI Fee b (Plumbing Fee Dbl E ��' Bond Amt. Plan No (� Pan�Checker Final 7ei Date Inspector Sp Insp Fee $ Demol Fee $ Const. Lender Branch Address City Zip - .... w - - ., red :Iia±I 1Registr- Fee .Mileage Fee $ .Witness Fee $ Reinsp- Fee $ 4w en --: N f Tel- D ip / Tatal Fees S ' ! ✓ City�� , l ff J�%] �{'j �j Zip 9 MO ❑ I C. ❑ Cash ❑ Ched Received by Contractor Tel License # Address 51 City Zip Workers' Comp IIIIII IIIII I I (III Y P p IE yes ❑ no ❑ I --.I. ;ID IF WORK IS NOT [+ l'�:I-::_L1J -.�- III• .-. .. .. ' .- � - .. •°... _ ",'w;,,•i+LL �,�SC) („vUSE I'�Ckl ILA E '_:7!-_ : �.•ID 4f 1 HFR,Lb �:G4E' THAT ALL WOR., II,-. (: i)N1•.E(i`:VITH THI£ : • 'h. I, .'1 70�-- 7i, �:,kLk•.3 �. . H IHE L,'.`rr JF PI VEQSIDE COUNr'L l,PdD THE STATE OF C:.LIFJ;Zf j A =r"IF, 'HAI °HE INDIVIf UAL WHO PgfPARED 1HE ?LA!r.''iAND HA r1taN 554' Or %Ii� IiSl5TN 55 AND f'?Oi'x5510#1t "?L''E. OF1'lir SYA`•t .� ',I: Trees to ge system sews r S stem T L P wer Districts{A - Form 284-208 (Rev 4-771 ©s W V_ O z SANCO� 2502 Morongo Trail PUMPING SERVICE _ Palm Springs, CA 92264 � NO- 012864 _ (760) 327-8859 so IC SOLO TO SHIPPED TO STREET STREET r CITY 4 STATE ZIP CITY STATE ZIP CUSTOMER ORDER SALESMAN i TERMS F.O.B. DATE PAYMENT DUE UPON RECEIPT