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HomeMy WebLinkAboutX2021-3017 - Permit Applicationrant roan—j VVorKwleet Tor l.o[Tll[Do bunaing do boiar vermlt Appimatloil 91, F Comm'I �p Residential iCityof Newport Beach -BuildingDivision h uz e- �j®INOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL q j�Building [Grading Drainage [Flet �Mech Plum Cuvdcut� cuvdFm - a Project Address (Not mailing address) 1-, Flood Fire r, Liq F_ Landslide PkA Floor Suite No k-4 L- i 1 I Description of Work IJ Us Const Type y To t GET �EPL /tLc `. . � r< - < #Stories #Units(ifR )y' jZ A -L-A Y 4 TC i 1 Valuation $ D U (� New/Add SF Remodel SF�— Garage/New/Add Material/Labor o OWNER'S NAME Last i _ First I GES G 1 c: — ---- ---- Owner's Address Owner's E-mail Address �T- b k _ _ City Mew ofz,T g .(1 State 7A Zip Telephone APPLICANT'S NAME Last Applicant's Address City State �— Last �q cc p S Architect/Designer's Address t � i�le�PrnrGS City (lev i v a State 4. - First 1 Applicant's E-mail Address Zip F_; .Telephoner First Lic. No. F77777 Architect/Designees E-mail Address — -- --.. Zip - 9 Z b Z iJ Telephone ENGINEER'S NAME Last First Lic. No.F777 Engineer's Address ..... city State CONTRACTOR'S NAME/COMPANY Engineer's E-mail Address Zip r Telephone— Lic.No. 05 33'78gClassF Contractor's E-mail Address �g y S�vS !r�✓✓5Trzvc7'/p„✓ Contractor's Address City State EW © �✓rNGa � SETBACKS FRONT SETBACKS RIGHT DEVELOPMENT NO J"rnCot2 �4L,otnw- Zip Telephone �(r4t-3t,-9y`8fp PERMIT N0: PLAN CHECK N0. ',A_LL__<c°,-,- PLAN CHECK FEES $