BSPN2017-0026 aRiverside County Fire ,,dpartrnent
Fire Prot€, --ion Planning Section
Riverrwto BMhce; 2300 Markel SI., Ste. 160, Riverdide. CA 92501 Ph. (951) 955-4777 Fax (951) 9S -4B66
Hurries 01f+[e. 39403 Los Alarms Rd., $re A, Mur+3em- Cs 925E3 Ph. (951( 600.616o Fax (951) 900.6161
Palm Desert 07Gce. 77.933 Les MoeineLas Rd., • /Or)elm Desert, CA 92211.4131 Ph. (760) 863-8886 (760) 853.7072
Fire Department Clearance/Release
Date: I'a"kLk
To: U i(cF1,�'�
Fax:
Tract/Parcel Map #:
Permit/Lot #:
Job Site Address:
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Final For Recordation
Release For Building Permit(s)
Shell Final Only (No Tenant)
Final For Oco eneSr- Ste ; J(Ll -
Building Plan Check Fees Paid
Building Ran Check Fees Not Paid
Other Fees
Fees Not Required
If you should have any questions, please contact the appropriate Riversile County Fire Protection
Planning office for further assistance.
Authorizing Signature For Release
A vc�
Print Name
Form C — Revised 1/15/2014