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HomeMy WebLinkAboutF2021-0147 - Permit ApplicationTint ,?City of Newport Beach -Building Division ase 3 copies '� �2 � . p ILA I ssociated Building Permit #f7I Fire Sprinkler FI Fire Alarm r7 Fire Misc 1. Project Address (Not mailing address) Tenant Name 2. Description of Work .A- � e4Wtix- Extg Sq Ft New/Added Sq Ft Total Sq Ft rJ New F7 Add Y\ Alter F Demo Check Appropriate Box for Applicant/Notification U41,1, -...-Floor Suite No # Units' i G Valuation $ # Stories I . " 3. Owner's Name Last[ 1 �� N (0, First Owner's Address Owner's E-mail Address city �� ' State I J Zip FT�TTelephoned 4. Architect/Designees Name Last �— First Lic. No. I Architect/Designer's Address Architect/Designees E-mail Address city StateJI Zip Telephone (° 5. Engineer's Name Last V First Lic. No. Engineer's Address Engineer's E-mail Address city-- /. /, - r. /i State Zip jQ j Telephone -3 ` 4D 6. Contractor's Name Last`10 ` pqw N irsY Lic. No. �! ClassFi, Contractor's Address Contractor's E-mail Address City StateZipZip—'I Telephone— OFFICE USE ONLY PERMIT NO. �iyroLp(- UUiT k TYPE OF CONSTRUCTION PLAN CHECK NO OCCUPANCY - GROUP PLAN CHECK FEE $ �''� Ito