HomeMy WebLinkAboutF2020-0102 - Permit ApplicationWorksheet for Fire Permit Application
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Associated Building Permit #
City of Newport Beach - Building Division
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1. Project Address (Not mailing address) Floor Suite No
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Tenant Name N\ar n Q„ C.A. %r #Units
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2. Description of Work
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Extg Sq Ft New/Added Sq Ft Total Sq Ft
Valuation $ / i
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Check Appropriate Box for Applicant/Notification
3. Owner's Name Last TFirst
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Owner's Address
Owner's E-mail Address
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State l �4 1 Zip � _ Telephone
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Architect/Designer's Address
Architect/Designer's E-mail Address
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State Zip Telephone
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[;5.Engineer's Name Last—
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Lic. No,F�
Engineer's Address
Engineer's E-mail Address
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F76. Contractor's Name Last GO( First Lic. No. S lass
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Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PIZ- W4 PLAN CHECK NO. 9M '
OCCUPANCY -GROUP
�(q 011Z PLAN CHECK FEE $
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