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HomeMy WebLinkAboutF2023-0493 - Permit ApplicationPrint Form Please print 3 copies Associated Building Permit # t. Project Address (Not mailing Worksheet for Fire Permit Application U40-- City of Newport Beach -Building Division Fire Sprinkler r Fire Alarm r Fire Misc Tenant Name I *0 2. Description of Work t�locu {f (5') VA'nxler- Extg Sq Ft 3�- New/Added Sq Ft �— Total Sq Ft 3, j y r New r- Add f�' Alter j— Demo Check Appropriate Box for Applicant/Notification I— 3. Owner's Name Last Owner's Address First Owner's E-mail Address Floor Suite No F7 - 9 # Units I — Use 1110e2Aant 'te Valuation $ #Stories F City I State F— Zip [_ Telephonef� f 4. Architect/Designer's Name Last First F� Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City I State F_ Zip [� Telephone[� I— 5. Engineer's Name Last I First F — Lic. No. r-- Engineer's Address Engineer's E-mail Address City State F_ Zip [_ Telephone[� I— 6. Contractor's Name Last Cm�pd First[�?� -S Cj -- f pl , e / — Lic No. � t/a Class rk Contractor's Address Contractors E-mail Address C�c Fi (��110 tic �,®/1LQ avr Co2� I'1 � ice. S!- City � /Ul.du,oll C,'�y State C/tj Zip qI �G 5 5 Telephone ZrGI ,7ct( OFFICE USE ONLY TYPE OF CONSTRUCTION OCCUPANCY - GROUP PERMIT NO. PLAN CHECK NO. PLAN CHECK FEE $ a