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HomeMy WebLinkAboutXR2022-2859 - Permit Application- �-_ & Solar Permit Application | C�yofNewpo�Beach '8uik1ingD���Xn '— NOTE: PLAN CHECK FEES DUE ATTIME 0FSUBMITTAL ~ Ft4uilding F_ Grading F-_Drainage F_ Elec F_ Mech F-, Plum Cu Yd Cut Cu Yd Fill F Project Address (Not mailing address) F_ Flood F_ Fire r— Liq [_ Landslide F7N/A Floor Suite No Description of Work 1-6114-174� Valuation $ Material/Labor New/AddSFF—,.., _�emodelSFJ Garage/New/Add OWNER'S NAME Owner's Address Owner's E-mail Address State APPLICANT'S NAME Last Applicant's Address Applicant's E-mail Address zip F� ARCH ITECT/DESI G N ER'S NAME Last /0A1V1e_A_1, First �2� AluD L i c. Nc T --,q Architect/Designer's Address Architect/Designer's E-mail Address C ity .... ........ ... f777Zip TelephoneF Engineer's Address Engineer's E-mail Address City State Zip Telephone CONTRACTOR'S NAMEXOMPANY Lic. No. Class Contractor's Address Contractor's E-mail Address Cityl. State Zip Telephone F SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $