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HomeMy WebLinkAboutF2018-0281 - Permit ApplicationWorksheet for Fire Permit Applicatiorr Building Division Please print 3 copies City of Newport Beach - Associated Building Permit# Fire Sprinkler [7, Fire Alarm F-, Fire Misc 01 910-1 rM 1. Project Address (Not mailing address) Floor Suite No Last FirstF- Tenant Name UnitsF III 2. Description of Work Use F_ Extg Sq Ft F7777 New/Added Sq Ft Total So Ft Valuation $ Architect/Designer's E-mail Address # Stories New Add Alter Demo 5. Engineer's Name Check Appropriate Box for Applicant/Notification F7 3. Owner's Name Last FirstF- Owner's Address Owners E-mail Address City StateF_Zip Telephone c4F F First Lic. No. r- 4. Arch itectlDesigner's Name Lasti- F F77 Architect/Designers Address Architect/Designer's E-mail Address City State F zip F Telephone I 5. Engineer's Name Last no-Al-ce FirstFM-Q-- -- )( - ------ Lic. No.F Engineers Address Engineers E-mail Address I Wes r V H K, F _rAR K � 0i y4sl VC1, (I" city State FY_ zip1___q)T_0/7 TelephoneF-111- --&66 —gfs o F/ca 55 F-6. Contractor's Name Lastj Lic. No. --n-, 1, Contractor's Address Contractors E-mail Address PV rVE I 1A OKI City F_N04AIM VA Fq!B C Telephonel State FC Zip 666 -*So OFFICE USE ONLY TYPE OF CONSTRUCTION PERMIT NO. Q q PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE I