HomeMy WebLinkAboutX2021-1389 - Permit Application-, - worksheet for Fire PermiiAppli ' """I'My
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City cation SWP
of Newport Beach - Building Division
Please print 3 copies
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Associated Building Permit# 8V.6Sprinkler r Fire Alarm
-- — — — — — — Fire Misc
�1 - Project Address (Not Mailing address)
410,010 A-6, Floor Suite No
Tenant Namam
e
VV 1. 1141 # Units
2. Description of Work I �_l
r-CJ0La& z I Use
11g Sq F, Valuation $
.� I 0eq
7 Total Sq Ft rilv_/ 019
New/Added Sq Ft
NewDemo # Stories
,❑_j Add F,�`Alter F , sF/76
Check APPropriate Rny for Applicant/Notification
F_ ------
'S Name Last -P----,i First
_j 3. Owner F i mi
Contractor's Address
-4f7 ,,3iC)-,
Cityj State
OFFICE USE ONLY
TYPE OF CONSTRUCTION
OCCUPANCY- GROUP —
First Lic. No. Class __
Contractors E-mail Address
aq
Zip ") —1a Telephone
F
PERMIT NO. F
PLAN CHECK NO. -7
PLAN CHECK FEE $