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HomeMy WebLinkAboutF2018-0126 - Permit ApplicationWorksheet for Fire Permit Application O 50/-20/8 City of Newport Beach - Building Division F.?O/$,01�6 Please print 3 copies { o„oaas Associated Building Permit # X w � 7 - l l �; /Fire Sprinkler Fire Alarm F- Fire Misc 1. Project Address (Not mailing address) Floor Suite No - Tenant Name C--- #Units I 2. Description of Work �r qq L1 Use Extg Sq Ft - —' New/Added Sq Ft —; Total Sq Ft [----', Valuation C-- - New Add (!•••••••._ Alter Demo, # Stories F_ F_ Check Appropriate Box for Applicant/Notification Infnrmnflnn [- 3. Owner's Name Last First Owner's Address Owners E-mail Address City '. State Zip F_ Telephoned F_ 4. Architect/Designer's Name Last First Lic. No. Architect/Designees Address Architect/Designer's E-mail Address City State Zip r—,Telephone— 1- 5. Engineer's Name Last First ( Lic No. Engineers Address Engineer's E-mail Address _ City � - - _ .State �' I Zip F— Telephoned_i r 6. Contractor's Name Last yy / ^JQ Z First PYtGtl� G� Lic. No. F95sg,S5'Class C- I& Contractors Address Contractor's E-mail Address �� Sf �`ar� f elllccd -- err? nlq/ rnex,_ll`keS S 00.cc City F— - State r Zip �. Telephone9 2,•' OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP i� r O PLAN CHECK FEE $ )/ Ll