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HomeMy WebLinkAboutX2022-1154 - Permit Application)F. Print.Forrh Worksheet for Combo Building & Solar Permit Application X Comm'I F_ Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT �OV/ 6� FX-IBuilding r—, Grading (—Drainage xi Elec r Mech r_ Plum Cu Yd Cutf Cu Yd Fill F ject Address (Not mailing address) r—' FloodF —,Fire ri, Liq F7 Landslide FN/A Floor Suite No Superior Ave F77 F77 7 tin of WoUse rk F77 one iolluminated wall sign to replace the existing sign F i Const Type #Storles7l # Units (if Res) New/Add SFF7777 Remodel SFF—i OWNER'S NAME Last IUS Bank Owners Address Valuation $ Garage/New/Add j Material/LaborF$3,000.00 li First Owner's E-mail Address 00 E Randolph St FI 43 City IChicago State F_ Zip 60601-6519 j Telephone(773) 318-6485 APPLICANT'S NAME Last Applicant's Address 44 Federal Blvd City San Diego State CA First Applicant's E-mail Address Steve@signtech.com Zip921 (619)5 9T__ TelephoneF ARCHITECT/DESIGNER'S NAME Last mtr__ i First t/ Lic. No. Architect/Desig R is Address city State F Architect/Designer's E-mail Address Z!P[—] Telephonel ENGINEER'S NAME Last71 1, , , , First Lic. No Engineer's Address Engineers E-mail Address e City State zipF ­ Telephon I F CONTRACTOR'S NAME/COMPANY Signtech Electrical Advertising Lic, No.F Class F 57406 C4 Contractor's Address 444 Federal Blvd C San Diego State C City FA I SETBACKS REAR SETBACKS LEFT SETBACKS FRONT SETBACKS RIGHT Contractors E-mail Address Zip 92102 --. Telephone(619) 527-6100 PERMIT NO. PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $