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HomeMy WebLinkAboutF2018-0603 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3, copies Associated Building Permit# Fire Sprinkler J_ Fire Alarm 7 Fire Misc 1. Project Address (Not mailing address) Floor Suite No q� Tenant Name �4. � 'Y� V�: #Units 2. Description of Work Use b. State F_ Zip F— Telephonel F 4. Arch itecUDesigner's Name Last First Lic. No. ` EMg Sq Ft (i`6S New/Added Sq Ft Total Sq Ft � �� Valuation $ )nt?co lX City I 7 # Stories V j— New P( Add ; Alter j— Demo First l Lic. No.I i Check Appropriate Box for Appiicant/Notification (— 3. Owner's Name Last First; Owner's Address Owners E-mail Address City � State F_ Zip F— Telephonel F 4. Arch itecUDesigner's Name Last First Lic. No. ` Architect/Designer's Address Arch itect/Designer's E-mail Address City I I State I Zip Telephone'! 5. Engineer's Name Last i First l Lic. No.I i Engineer's Address Engineer's E-mail Address r city State State Zip F_ Telephoned �6. Contractor's Name Lasti First' �� Lic. No. El I 1 1�1 classIM UK 1 Contractor's Address Contractor's E-mail Address �� c s dek_el n Flre1 fiQT &i C6 yr) City ;. State �G� Zip F T)�(}t Telephone,)l(�`�Zpl_'� 11 OFFICE USE ONLY �(� C�,V PERMIT NO. �Y �/�\ OL4 L TYPE OF CONSTRUCTION O ry OCCUPANCYGROUP 1'9� U PLAN CHECK FEE $ 0