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HomeMy WebLinkAboutX2019-3209 - Permit ApplicationF Comm I Residential City of Newport Beach -Building Division aPHP_ NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL rBuilding F-, Grading j -Drainage f-Elec F7.Mech j Plum cuvdCut Cu Yd Fm Project Address (Not mailing address) F Flood j Fire r- Liq F Landslide FN/A Floor Suite No Description of Work d Use Const Type I6 { # Stories # Units (if Res) New/Add SF F_ Remodel SF�Valuation $ Garage/New/Add �- Material/Labor' �� OWNER'S NAME Last 1-_ Owner's Address IF Owner' E-mail Address city State � Zip Telephone APPLICANT'S NAME Last First�d� �a Applicant's Address Applicant's E-mail Address •,e� City state ZIP .Telephone ARCHITECT/DESIGNER'S NAME Last First r.Lic No. Architect/Designer's Address Architect/Designer's E-mail Address City State Zip. TelephonI­__7 ENGINEER'S NAME La First (.--.__....—.._.-. Lic. No. F-7— Engineer's Address Engineer's E-mail Address City State I Zip TelephoneF CONTRACTOR'S NAME/COMPANY' Lic. No. Class Contra r's. ddress .Contractor's E-mail Address Cit y SETBACKS REAR !� SETBACKS FRONT PERMIT NO. f s.:" SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. USEZONE DEVELOPMENT NO PLAN CHECK FEES $ _