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HomeMy WebLinkAboutX2020-0457 - Permit Application (2)Print Form Worksheet for Combo Building & Solar Permit Application 00 q. EWCO r" Corl Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES lAT TIME nF .¢i iPRAITroi ilding F7 Grading r -Drainage' _,EI c F-., Mech j `Plum cuvdcutF— cuvdRif Project Address (Not mailing address) Flood 17, Fire F_ Liq F-, Landslide [7N/A Floor Suite No Description of Work Use Const Type f @,�rv`1 # Stories # Units (if Res)F— Valuatio Material/Ln 5 abor New/Add SF f Remodel SFr Garage/New/Add OWNER'S NAME Last I " i j First Owner's Address At er-k$- Owner's E-mail Address City State (� --- --- __ Zip � Telephoned - I APPLICANT'S NAME Last i First '%ave - -.._ _ - - Applicant's Address Applicant's E-mail Address ...1 .N`a City ll tjgl .�Q tiLi State I v° t Zip �V �� Telep 72 -) ARCHITECT/ ESIGNER'S NAME Last F �' First Lic. No. Architect/Designer's Address ArchitecUDesigner's E-mail Address city -.. State ��, Zip �� Telephoned ENGINEER'S NAME Last First F Lic. No. , Engineer's Address Engineer's E-mail Address City F_ .State �� Zip �� Telephoned CONTRACYOR'SNAME/COMPANY PA � Ssc�n �w Lic. No. Class C I Contractor's AddressContractor's E-mail Address l/ j City State` Zipyy Telephone SETBACKS REAR SETBACKS FRONy'� I PERMIT NO. STBA K LEFT SETBACKS RIGHT 1 PLAN CHECK NO.' i'':r'✓'',j a USE ZONE DEVELOPMENT 0 �,�;�� F PLAN CHECK FEES$