HomeMy WebLinkAboutF2020-0089 - Permit Application'lease print 3 copies
Associated Building Permit #
1. Project
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Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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Tenant Name
2. Description of Work
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New/Added Sq Ft � � Total So Ft
Extg Sq Ft
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Add ❑ Alter ❑ Demo
Check Appropriate Box for Appiieanti notification
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# Units =I
Use
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# Stories 4
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3. owner's Name Last i r'J
Owner's E-mail Address
Owner s Address ---
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E]4. Architect/Designer's Name
Last
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ArchitectlDesigners Address
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[i 5. Engineer's Name
Architect/Designer s E -mai
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Last '�i"F"g —
Engineer's Address .I
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06. Contractor's Name
Lic. No.
Engineer's E-mail Address
Zip Telephone
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Contractor's E-mail Address
Contractor's Address
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OFFICE
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP
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PERMIT N0. -t (-
PLAN CHECK N0.
PLAN CHECK FEE $
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