HomeMy WebLinkAboutF2021-0354 - Permit Applicationvwwl K-nneet for Fire Permit APPlication
Please print 3 copies City of Newport Beach - Building Division
Associated Building Permit #
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1 - Project Address (Not Mailing address)
Tenant Name
2. Description Of Work --------
Extg Sq Ft New/Added Sq Ft � Total SqFt-[-__---------
New
j Add Alter F-, Demo
Check Appropriate Box for Applicant/Notification
F_� 3. Owner's Name Last
Owner's Address F10 L First FY/+c-,Ly
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4. Architect/Designer's Name
Last I
Architect/Designer's Address _ --1-1-11-11-1- _ _J
City State
---------------------------
Use
0
Floor Suite No
77 r-- ;
# Units
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Valuation $ 2 >_ O o_J
Owner's E-mail Address -
Zip Telephone___
F 5. Engineer's Name
First
Lic.
Architect/Designees E-mail Address
Zip Telephone
Last
Engineer's Address
[ I Pddress
E7? Contractor's E-mail&mail
city
G*I C)aee— State CG`7-7
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p rzo j I Telephone
111�_76;ti 17 f
OFFICE USE ONLY
TYPE OF CONSTRUCTION PERMIT NO. 'FznZj
OCCUPANCY - GROUP . PLAN CHECK NO. S ZP)
PLAN CHECK FEE $
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