HomeMy WebLinkAboutF2011-0085 - Permit ApplicationF201-- p0�65 Zoo 9 j�
Worksheet for Fire Permit Application,,, 0
Please print 3 copies �
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I- � (tb City of Newport Beach - Building Department `� ? i o aEW be o
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61 Fire S z [ Fire Alarm r, Fire Misc
1. Project Address (Not mailing address)
Tenant Name (if Applicable)
2. Description of Work
5 Pki,v pGee ,,.r o,v.`T
If Sprinkler How Many Heads?
Check Appropriate Box for Applicant/Notification Information
C 3. Owner's Name Last I First
Floor Suite No
# of Units (if Residential)
Owner's Address Owner's E-mail Address
City State Zip F7 — Telephone
OFFICE USE ONLY
Use
Valuation $ i 165 q�
# Stories
PERMIT NO. I:--710 I I -DO
1/18/07 Associated Building Permit #
PLAN CHECK NO. t i�
PLAN CHECK FEE $