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HomeMy WebLinkAboutX2020-2164 - Permit ApplicationPrint Form Iw (- Comm'I I- Residential F -Building (- Grading for Combo Building & Solar Permit Application City of Newport Beach - Building Division Y 2V2V 2-J , H NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL inage KElec r Mech rK Plum Cu Yd cuts Cu Yd FIII r Project Address (Not mailing address) F Flood r Fire r Liq [_ Landslide rN/A Floor Suite No Description of Work Use Fz�ConstType I l r k or,/ 4, NU S T P_ticTtrr2oL (j6W KIT ca(3, A��� A p 17 NEWS `Dln� # Storiess #Units (if Res)s ft Valuation $ /M New/AddSFss Remodel SF /Ov3Cp Garage/New/Add— Material/Laborlh',;� OWNER'S NAME LastFZ1, Owner's Address City I__ APPLICANT'S NAME Applicant's Address City fvmY t First (r_�qa/Yq i Owner's E-mail Address State Zlp [_ Telephone v� v ee Last 1 M6 SS Ati 9�, N First I 6112-) CG Applicant's E-mail Address State W Zip �— Telephoned ARCHITECT/DESIGNER'S NAME Last Lic. No. Architect/Designer's Address ArchitecUDesigner's E-mail Address City / State �� Zip �3 T gpbonel - 7 Z,/ 2/ ENGINEER'S NAME Last First Engineer's Address Engineer's E-mail Address city State F_Zip [ TelephoneF Lic. No.s— CONTRACTOR'S NAME/COMPANY "7O!�2zs t —� Lic. No. 7; fl� Class Contractor's Address Contractor's E-mail Address City I State F_ Zip F_ Telephones SETBACKS REAR SETBACKS FRONT PERMIT NO. W V, SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. W USE ZONE DEVELOPMENT NO PLAN CHECK FEES $