HomeMy WebLinkAboutX2021-2715 - Permit ApplicationY,'?Z 7�i ? _e i
Print Form Worksheet for Combo Building & Solar Permit Application
F- Comm'I F- Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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Material/Labor
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OWNER'S NAME Last j
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Owner's Address
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APPLICANT'S NAME Last
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Applicant's(( Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME
Last First F_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City
State �— Zip r- Telephoner_
ENGINEER'S NAME Last
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Engineer's Address
Engineer's E-mail Address
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CONTRACTORS NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT /
PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. �._ • r
USE ZONE
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DEVELOPMENT NO PLAN CHECK FEES $