HomeMy WebLinkAboutX2020-2268 - Permit Application (3).rr �fl�
Comm'I Residential City of Newport Beach -Building Division (1110-0 NOTE PLAN r:HFCI! FCFc nr io: n -r none nv o� �ene��„�
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Project Address (Not mailing address) C Flood C Fire [7 Liq ❑ Landslide ON/A Floor Suite No
Description of Work
Use F7 Const Type C
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# Stories # Units (if Res)❑
Valuation $
Material/aNew/Add
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SF U Remodel SF N AGara Garage/New/Add
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OWNER'S NAME . Last -tn/An( First I aL,AU
Owner's Address Owners E-mail Address
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City sPIQ.t2�®R7 PA�.14 State
Zip iZtra Telephone
APPLICANT'S NAME Last &A:EDp t2 d oil I First�A.
Applicant's Address: Applic/ant's. E-mail Address
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city I 't.>ti7�'�� : State BSA. :Zip g24Lar7 Telephone
ARCHITECT/DESIGNER'S NAME Last---�
I First Lic. No.
ArchitecHDesigner'sAddress Architect/Designer's E-mail Address
City 1 State Zip Telephoned
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ENGINEER'S NAME Last I First tic. No.
Engineer's Address ` Engineer's E-mail Address -
;city 1 1 State Zip Telephonef
CONTRACTOR'S NAME/COMPANY �a4olJt�t,� Lic.No.1 ( Class
Contractor's Address Contractor's E-mail Address
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city ,pP..,rA y G _ State Zip rj i86d' TelephoneR5 5 1`Z/-2 -9 fd,bi
SETBACKS REAR SETBACKS FRONT PERMIT NO. '
SETBACKS LEFT SETBACKS RIGHT. PLAN CHECK NO. fl
USE ZONE DEVELOPMENT NO PLAN CHECK FEES$