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HomeMy WebLinkAboutx2021-2109 - Permit ApplicationPrint For Worksheet for Combo Building & Solar Per mit _VIeT((�p/Ili1c tion 1 ���� ° Comm'I r' Residential NOTE: PIty of Newport LAN HECK EES UE each - AT TIME OF uilding Ision SUBMITTAIt, q �! ^ i�I �,. -,._2 [-Building [-Grading [-Drainage [-Elec [-Meth FPlum Cu Yd Cut Cu Yd Filll Project Address (Not mailing address) [- Flood [- Fire [- Liq [- Landslide [-N/A[-Floor [-S—teNNoo li-p/ fZl� N1'C 2T 3 #J 3LQ Description of Work 41vo Z Use F—ConstType N # Stories # Units (if Res)F wValuation ) 8 1 K 1 %z silWA $ } //0 Material/Labor/ 7� �x� J New/Add SF N//I --' Remodel SFFm A Garaged OWNER'S NAME Last TA��! 1\ 1 ���2T ` 1First Owner's Address Owner's E-mail Address up KT) RE=6sEL� �a3-A C,om City N E\\ /_f orn 7 _ `QQ1.., State Zip � , Telephone y✓ ` (?2 Ty APPLICANT'S NAME Last �O_� First , /S Applicant's Address l�Jl Applicant's E- I Address CItY - -. - State r_._.. Zip r.-.. Telephone_—_. -- ARCHITECT/DESIGNER'S NAME Last r: Lic. N\\rd First �., Architect/Designer's Address Arc hitect/Designer's E-mail Address city -. -_.. _.-. State I—., Zip[-__._.. TelePhoneF----__.... ENGINEER'S NAME Last D C 0%I (.t E �L FirstKP V I N Lic. No. S 4(-707 Engineer's Address Engineer's E-mail Address 1150 S. OLIVE STS SurrE f60o KbOCOJn1F-LL (d H.CO.CO/A Citv LOS AM G E L,5S State C A Zip [_q_0 0 55 Telephone v,1 --271- IR34 CONTRACTOR'S NAME/COMPANY Lic. No.IR Class Contractor's Address Contractor's E-mail Address City _ _. State r—.— Zip r—'� - Telephone 0 .41 ' T� SETBACKS REAR SETBACKS FRONT PERMIT NO. • 24" V SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. , vVLJ USE ZONE DEVELOPMENT NO PLAN CHECK FEES $