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HomeMy WebLinkAboutF2019-0061 - Permit ApplicationPlease print 3 copies Associated Building Permit# Worksheet for Fire Permit Application City of Newport Beach - Building Division r,i Fire Sprinkler f] Fire Alarm j j Fire Misc 1. Project Address (Not mailing address) Floor Suite No Tenant Name # Units I 2. Description of Work Owner's E-mail Address Use State I ,I Ft New/Added Sq Ft �,i Total Sq Ft Extg Sq � Valuation $� Last # Stories �I ew j! Add j- Alter r Demo' Check Appropriate Box for Applicant/Notification rl 3. Owner's Name Last First', Owner's Address Owner's E-mail Address City State I Zip �� Telephoned 4. Arch itecUDesigner's Name Last FirstF Lic. No. F Architect/Designer's Address Architect/Designer's E-mail Address City State F Zip Telephone FI - -_. [,' 5. Engineer's Name Last First F Lic No. Engineer's Address Engineer's E-mail Address City State Zip F Telephone_--� F76. Contractor's Name Last _' Firsto Lic. No.ss C -`\P Contractor's Address Contractor's E-mail A dreS City' State Zip �°��� aP� ! Telephone OFFICE USE ONLYQp� PERMIT NO. ic�1ek • rL_(oI TYPE OF CONSTRUCTION 1V 1 << f �f>V� PLAN CHECK NO. 0260 -20 1 ct OCCUPANCY- GROUP PLAN CHECK FEE $ X M l,� • o-)-) C7