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Home My WebLink AboutS2020-0059 - Permit Application (2)PLEASE PRINT OR TYPE 1. PROJECT ADDRESS /oz z LEGAL DESCRIPTION LOT WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH BUILDING DIVISION C (NOT MAILING ADDRESS) BLOCK TRACT PGI, -1 (P O Ps rerun I4S g49/68-3 -986, 2. DESCRIPTION OF WORK TOO L- / - � / //, ,S ESTIMATED $ VALUATION' SWIMMING POOL Q, SP -A -e—`PO_ Oaf- $ - Ate- r_hcr4 Annrnnria4n Innis fn► Annlirant 3. OWNER'S NAME LAST FIRST ;20 7 ; ADDRES�S OWNER'S E-MAIL ADDRESS /,� CITY STATE ZIP PHONE NO. 4. ENGINEER'S NAME LAST FIRST L LICENSE NO. ADDRESS ENGINEER'S E-MAIL ADDRESS C`7?o1 r4 CITY STATE ZIP Ck vV 7 PHONE NO. © 3 5 CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE N0 ?133 7y C12S� A DRESS CONTRACTOR'S E-MAIL ADDRESS CITY �Q { /^STATE r /_ ZI-P7 `� A -A jai ll � 7 —& & q . ( PH7ONE NO. 74 +° �wz :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ Sgoso. oa 1,°1 e1V4•oww Dul4omS �j(�j0�4 LI fY Forms\Pool spa appl (rev3-04).xls llu .