HomeMy WebLinkAboutX2022-1280 - Permit ApplicationWorksheet for Combo Building & Solar Per
r Comm'Iresidential City of Newport Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBI
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Project Address (Not mailing address) r•' Flood r" Fire r j Liq Fj Landslide r"N/A Floor Suite No
Description of Work
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N7 l( $ Mai0a/,05 1 [# T0(U
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Use Const Type �..
# StoriesF,. # Units (if Res),
AG� _
Valuation $
New/Add SF�F F t Remodel SFF Garage/New/Add I Material/Labor
qb �I 000
OWNER'S NAME Last
First
Owner's Address Owner's E-mail Address
(IflI_ E D-4t?66 -Ql. --
City EW flocT 15rAm State FEF Zlp 1(264 (..._ a Telephone __... .. _..__.
_ 626.. Sob. 6Np
APPLICANT'S NAME Last
First VIN
Applicant's Address Applicant's E-mail Address
%�33�1�iEnw1A* , S'r V1098u40T%1FE,i