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HomeMy WebLinkAboutX2016-1973 - Permit Application/omm'I J`; Residential Fuildin—,rading s (LNrrkJC New/Add SFF J OWNER'S NAME Owner's Address City vvrrruv omla'ng & Solar Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL [-Drainage Elec F Mech F- Plum ❑ Flood f- Fire Cu Yd cutI Cu Yd Fill Liq [ i Landslide [=N/A Floor Suite No Remodel SF�--i Garage/New/Add r --- Last APPLICANT'S NAME Last State t' '! r J First I Owner's E-mail Address ZIP First Applicant's Address Applicant's E-mail Address City State Zip Te�lcepLhone ARCHITECT/DESIGNER'S NAMELast-- J First F_ArchitecUDesignersAddress Lic. No. NI Joc. P Chs _I Architect/Designer's E-mail Address City J ZIP[ [_ Telephone ----- ENGINEER'S NAME se F-7 Const Types i #Stories # Units (if Res )� Valuation Material/Laa bor 7a) ��l Last Engineer's Address City ------------� State Zip First F77-77 eer's E-mail Address Lic. F7777 I r (+ACTOR'S NAME/COMPANY V G �1 - — --I Lic. No. - 7� Class CI 'tors Address - --- - Contractor's E-mail Address /' C St --- �- ate J Zip �J�7 Telephone �f SETBACKS FRONT PERMIT NO. 91 i SETBACKS RIGHT PLAN CHECK NO. /33 DEVELOPMENT NO PLAN CHECK FEES $