HomeMy WebLinkAboutX2019-1657 - Permit ApplicationWor st for Combo Building & Solar Permit Application
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� Comm'I ��Residential Y City of Newport Beach -Budding DivisionNOTEE OF SUBtM-IT—TEALt°
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Project Address (Not mailin address Flood
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Description of Work
Use Const Type
1,1.7
2 A� l 2 Z #Stories # Units (if Res)[
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OWNER'S NAME Last
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Owner's First
Address -
Owner's E-mail Address
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APPLICANT'S NAME Last/.
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:Applicants Address '
Applicant's E-mail Address
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City' .�— State zip Zip /_`l, Telephone IIA '?LJ2�OZ�O
ARCHITECT/DESIGNER'S NAME' I ,1 v
Last First],� /%� (j��w Lic.No.,
'Architect/Designer's Address Architect(Designeer'`s E-mail Address
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ENGINEER'S NAME ✓✓✓ I
Last (`�.y . First 1. 1 , .I11 ` J Lic: No.i 5
;Engineer's Address [ Engineer's E-mail Address
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City , State [_<D Zip, ��+1� Telephone
CONTRACTOR'S NAMEKOMPANY !'
Lic. No. -! Class 17—
Contractors Address Contractors E-mail Address
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City State —��
Zip Telephone
LSETBACKS
BACKS REAR SETBACKS FRONT PERMIT NO,it Lit
LEFT SETBACKS RIGHT PLAN CHECK NO.
ZONE DEVELOPMENT NO /a
PLAN CHECK FEES $