HomeMy WebLinkAboutE2022-0267 - Permit Application& Solar Permit Application
fPnnt Form WOriCSlleet for Combo Building _`1��,_ 16zw)
City of Newport Beach -Building Division
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Project Address (
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Description of Work`
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OWNER'S NAME Last f 1
Owner's E-mail Address
Owner's Address
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APPLICANT'S NAME Last Applicants E-mail Address
Applicant's Address
State Zip
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City
First �� Lic. No.
ARCHITECT/DESIGNER'S NAME Last ----' —
Architect/Designer's E-mail Address;
Architect/DesigneeAddress
State Zip
Telephone
City Lic. No.
I First
ENGINEER'S NAME Last - - --
Engineer's E-mail Address
Engineer's Address,
Zip Telephone
State [-rj - ----
City - ClassF_
Lic. No. ( (a
CONTRACTOR'S NAME/COMPANY P k�
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Contractor's.E-mail Address
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PERMIT NO.
SETBACKS FRONT
PLAN CHECK NO.
SETBACKS RIGHT DEVELOPMENT NO �4,,.'`� -
9Z,�cer_� ( e PLAN CHECK FEES $