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HomeMy WebLinkAboutX2018-0524 - Permit Application (3)� Comm'I /7 Residential City of Newport Beach - Building Division O g � }} ' e NOTE: PLAN CHECK FEES DUE AT TIME OF SUBM—ITTA—L j -Building I— Grading j -Drainage F_Elec j Mech r plum cuvdCut I cuvdFill t Address (Not Mailingq address) F j— Fire r r _. Liq Landslide CN/A Floor Suite No Pro(jecr7/ I(IL "�th_.J �Flood F � Description of Work Use F—ConstType �— # Stories # Units (if Res)j New/Add SFRemodel SFF — Gara a/New/Add F— 9 valuation 5 Material/Labor OWNER'S NAME Last Ncjuyrn First LSU Owner's Address _ Owners E-mail Address Il 2 StStllcr city Neu, P c7Yk �egC(1 — , State I r--- Zip I .Telephones716'ajyg3-6i-46 APPLICANT'S NAME Last NeJ'vet) First r3riciyl Applicant's Address Applicant's E-mail Address IU526 (}rlc rnm 6a[o,f 9 Y Circic ticsuyzn, C � bl>t no, vci i'n 9r1, cc » ! City Fo�c1 ars1.'.Z(a�(EY__. I _ 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_ Cin' �— _ ENGINEER'S NAME Last 1 First Lic. No.F— Engineer's Address - Engineer's E-mail Address State Zi i � P I Telephone1s City , _ CONTRACTOR'S NAME/COMPANY Lic. No. IF 10 i?g V3 Class F2j Contractor's Address Contractor's E-mail Address State F — Zip Telephone, I city SETBACKS REAR SETBACKS FRONT PERMIT NO. h16 . SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $