HomeMy WebLinkAboutX2018-2970 - Permit Application�- rnm corm d worlcsneet for combo Building & Solar Permit Application ��"`°R>
ryComm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TINAF nF cHFIRAITTni s
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Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq [ Landslide nN/A Floor Suite No
Description of Work `� iJ l V®�
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Valuation
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OWNER'S NAME Last
Owner's Address Owners E-mail Address
City �ateL" :Zip Telephone
APPLICANT'S NAME Last First
Applicant's Address - Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last First Lic. No. �—
ArchitecUDesigner's Address r,44- Architect/Designer's E-mail Address
City -State F— Zip L Telephonel__J
ENGINEER'S NAME i',/A Last First J Lic. No.
Engineer's Address. - Engineer's E-mail Address
City _ State Zip Telephone
CONTRACTOR'S NAME/COMPANYLic. No. } Class
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Contractor's Address Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO.�.? V
91
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE.ZONE DEVELOPMENT NO PLAN CHECK FEES $