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HomeMy WebLinkAboutF2022-0540 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # 1. Project Address (Not mail "O"o "e kalyo tL� Tenant Name L 2. Description of Work Worksheet for Fire Permit Application City of Newport Beach - Building Division ktwI address) -34 j Fire Sprinkler ❑ Fire Alarm CO l��S JL- bt14'tj3� tv+� Extg Sq Ft F771 New/Added Sq Ft Total Sq Ft ew ❑ Add ❑ Alter ❑ Demo US re Misc Floor Suite No I F -7 �77 # Units I Use Valuation #Stories 171 Check Appropriate Box for Applicant/Notification LpfoKrnatjon ❑ 3. Owner's Name Last ���-------��— First Owner's Address Owner's E-mail Address i City State Zip Telephoned ❑ 4. Arphitect/Designer's Name Last First Architectlobsigner's Address city State C J Lic. No. Architect/Designer's E-mail Address Zip Telephone ❑ 5. Engineer's Name Last First ' Lic. No. � J Engineer's Address Engineer's E-mail Address city I State Zip Tefephone� - � �JJJ Contractor's Name Last �1-ul.C/ First �.G`sL,� Lic. No. Class FLam,, Contractor's Address City �Q State OFFICE USE ONLY TYPE OF CONSTRUCTION Contractor's E-mail Address 4JoF f+l�Ul�gt�taoaLa�n off, G�1Nt Q (c/✓1 Zip L Telephone A, PERMIT NO. _ :-Z,,� — 05 C/O PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $