HomeMy WebLinkAboutX2018-0524 - Permit Application (3)� Comm'I /7 Residential
City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM—ITTA—L
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Description of Work
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New/Add SFRemodel SFF — Gara a/New/Add F—
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OWNER'S NAME Last
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Owner's Address
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Owners E-mail Address
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Zip I .Telephones716'ajyg3-6i-46
APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
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_ State F C'k ZiP� 92308 Telephone.(?/G)P39-6331
ARCHITECT/DESIGNER'S NAME
Last '. First Lic. No.
Architect/Designers Address
IArchitect/Designers E-mail Address
State �— Zip TelephoneF_
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ENGINEER'S NAME Last 1
First Lic. No.F—
Engineer's Address -
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
State F — Zip Telephone,
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SETBACKS REAR SETBACKS FRONT PERMIT NO. h16 .
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $