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HomeMy WebLinkAboutF2021-0438 - Permit ApplicationWorksheet for Fire Permit Ap IC '/j'�� City of Newport Beach - Building Divi n V V v , o Please print 3 copies �<;.o„�•� Associated Building Permit# 1=1 Fire Sprinkler rj Fire Alarm rj Fire Misc 1. Project Address (Not mailing address) Floor Suite No Tenant Name (�Ap�M+"'�( #Units f! 2. Description of Work Use -- 7/ T, Extg Sq Ft New/Added Sq Ft !Total Sq Ft / pppp Valuation$ �'�17t7 - — rl New f` Add Alt er (! Demo # Stories 77 Check Appropriate Box for Applicant/Notification (-_! 3. Owner's Name Last (�(�s First Owner's Address Owner's E-mail Address City �— Stater Zip Telephone (- 4. ArchitecfDesigne)s Name LastC� First Lic. No. - - ArchitecVDesigne{s Ad_Ass Architect/Designer's E-mail Address City State r Zip I Telephone—i F— 5. Engineer's Name Last First L Lic. No. Engineer's Address Engineer's E-mail Address City State F Zip Telephone �— r 6. Contractor's Name Last First Lic. No. Contractor's Address Contractor's E-mail Address City F j //�j - State Zip - �'/ Telephone ��Z -7 OFFICE USE ONLYt �+ty PERMIT NO. tjlOTYPE OF CONSTRUCTION Y PLAN CHECK NOi OCCUPANCY -GROUP PLAN CHECK FEE