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HomeMy WebLinkAboutF2019-0518 - Permit Applicationf wa- Workslheet for Fire Permit. Application City of Newport Beach - Building Division �{MFOP r 'lease print 3 copies (—i Fire Sprinkler Fire Alarm ❑ Fire Misc Associated Building Permit # ____._— Floor Suite No 1. Project Address Not mailing address) � ._ ❑�� # Units W1 Bs� ids/ Tenant Name 2. Description of Work Use G C� % - Valuation $e/ V NewlAdded Sq Ft _ J Total Sq Ft # Stories Extg Sq Ft ❑ New ❑ Add [❑ Alter ❑ Demo ------------- Check Appropriate Box for Appiicarit/Notification _4i�irst Last ff�,LE, Owner's E-mail Address Owner's Address State City ❑ 3. Owner's Name E]4. Architect/Designer's Name TelephoneZipUE�lL❑_ Lic. No.�— First _I i apt — LAFchj,tectV/DesIgner`s Address —� State C❑ City ❑ 5. Engineer's Name First C._( i/E' � Last "��"'� _ -- Engineers Address j --1 city State ❑B, Contractor's Name potLastr_— - -- --.. — E all Addr Contractors Address State �❑ city -- ----- OFFICE USE ONLY TYPE OF CONSTRUCTION OCCUPANCY - GROUP -- — Architect/Designer's E-mail Address I I Zip I Telephone Lic. No.I—= Engineers E-mail Address I Zip Telephone a ' I �fyl Lic. No. ❑-- Class Contractor s -m Zip ess I �I Telephone __^I ------ �� PERMIT NO. .. n PLAN CHECK N0. j PLAN CHECK FEE $