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HomeMy WebLinkAboutF2019-0502 - Permit ApplicationF?q-05Oz Please print 3 copies ,0/9 OS Worksheet for Fire Permit Application /9901 City of Newport Beach - Building Division o c<<;,a„.••' Associated Building Permit # �— Fire Sprinkler [7, Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No Owner's Address Owner's E-mail Address City Tenant Name-JU1'1i'� --HU�GUS #Units - 2. Description of Work Architect/Designer's E-mail Address City Tire. S`P^V^iV^NYJ w -T i riSP0,U- UOLCV-40 9Wk tWLd,&h0/-% Use[ Engineer's Address Engineers E-mail Address City � Extg Sq Ft 2tj..I! New/Added Sq Ft F Total Sq Ft 011 Valuation $- Contractor's E-mail Address Stories i (] r -New (— Add 'Alter F_# Dema J Check Appropriate Box for Applicant/Notification 1 nfnrm nfinn F_ 3. Owner's Name Last First Owner's Address Owner's E-mail Address City j State zip Zip F_ Telephone�— 4. Architect/Designer's Name Last First F— Lic. No. Architect/Designers Address Architect/Designer's E-mail Address City �'.. State F_ Zip ---. Telephone r 5. Engineer's Name Last First —' Lic No F— Engineer's Address Engineers E-mail Address City � ___- State Zip �_ Telephone(-- F/6. Contractor's Name Last FirstS kie, Lic. No. r�qi(i( class w po, C1 Contractor's Address Contractor's E-mail Address �►7.0_(r_A/n�ShP�i' I Frescl F-rs . cGvn City I t�._StateI ��_ /�sj,_Cieke.1@ {f2 �!r-c -.-.. Zip 'll Telephone L_�-JZ�".�(�.'. OFFICE USE ONLY PERMIT NO. ! �2 TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP PLAN CHECK FEE $ f- _--.