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HomeMy WebLinkAboutS2020-0202 - Permit ApplicationWORKSHEET FOR POOL COMBINATION 4uo • OZ PERMIT APPLICATION CITY OF NEWPORT BEACH PLEASE PRINT OR TYPE BUILDING DIVISION 'I. PROJECT ADDRESS I NOT MAILINGA NXi' 93c PDR-r PuVLEIG4. IJ�vv�nKT LDESCRGIP�TION OF WORK !LC' M D i� �( &F x l y- .) Ay 4 r D C ESTIMATED $ VALUATION_ 4!$; pDA OOL ❑ SPA E2 POOL FENCING ❑ DRAINAGE n/ 4. ENG r2 of box for P&R7* v �Oar2r 8-C-4 <y ✓V)J/T �vL�1G,y STATE CA. 7Won4p /u. Tv r;r o v` STATE A*A I4,0 41 5. CONTRACTOR'S NAME ADDRESS t' o, l?bY 27Y.7-7 CITY STATE StfA/Ts} AA,4 rod. :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ Forms\Pool spa appl (rev3-04).xls 7 �IrfTrXEY✓ � � :NGINEER'S E-MAIL ADDRESS M.4 rr4c-wT(P ZIP PHONE 92 8D7 C-i/u '(0-3rJ -61ob NO. �a ,boo/ ci-an �. c A. '40. 63D-�/DD NTE LICENSE '673zS, c. � tG�t Tc1„✓.ar � f7P/J, ri ZIP PHONE r7�yNzy0-,e b :�q OW-