HomeMy WebLinkAboutF2019-0542 - Permit ApplicationWorksheetfor Fire Permit P,ppoicationF�t�- OS -y2
City of Newport Beach - Building Division
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Tenant Name
2. Description of Work
Extg Sq Ft -New/Added Sq FtC—
Total Sq Ft
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# Units sl
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- Valuation $�s�
# Stories LI
Check Appropriate Box for Applicant/Notification
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[) 3. Owner's Name
Owner's E-mail Address
State
owners Address -
-� r/� Zip
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i Lic.No.s—
G4. ArchitectIDesigner's Name
Last
First _ ss -
I Address
Architect/Designer s Address
State
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❑ 6. Engineer's Name
Architect/Designer s E -mai
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Zip Telephone_ j
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First I
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Last ---
Engineers Address
State
D6. Contractor's Name
Lic. No. E_=—I
Engineers E-mail Address
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Last-
Contractors Address
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City
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY - GROUP
Uc. No. -j class—J
I Address
Contractors E -mai
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Zip
PERMIT NO. __V_e
PLAN CHECK NOp-
PLAN CHECK FEE $