HomeMy WebLinkAboutXC2022-2000 - Permit ApplicationPfint Form J for- Com boBuil-ding & Solar Permit Application PpRT
[��tomm'l f Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK_ r'EES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) Flood Nire Liq F_ Landslide F_N/A Floor Suite No
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Description of Work
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# Stories[ # Units (if Res)
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New/Add SF F_ Remodel SF F, i) Garage/New/Add
Valuation $
Material/Labor q Tj 0 C3
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
City State F_
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APPLICANT'S NAME Last First
Applicant's Address
Applicant's E-mail Address
City State r Zipj TelephoneF7
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ARCHITECT/DESIGNER'S NAME Last First
I _ - A4(:S� Lic. No.F
Architect/Designer's Address Arch itect/Designer's E-mail Address
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C ity State ZIP Telephone
ENGINEER'S NAME Last First F_ Lic. No.1
Engineer's Address Engineer's E-mail Address
City F� State F Zip F Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. Class
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Contractor's Address 0�s
/71D j Contra or's E-mail Address
City State Zip F Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO,
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
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