HomeMy WebLinkAboutF2019-0502 - Permit ApplicationF?q-05Oz
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Worksheet for Fire Permit Application /9901
City of Newport Beach - Building Division o
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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'�
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2. Description of Work
Architect/Designer's E-mail Address
City
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Engineer's Address
Engineers E-mail Address
City �
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New/Added Sq Ft F Total Sq Ft 011
Valuation $-
Contractor's E-mail Address
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Check Appropriate Box for Applicant/Notification
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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 �
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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
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OFFICE USE ONLY
PERMIT NO. ! �2
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $ f-
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