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HomeMy WebLinkAboutF2022-0292 - Permit ApplicationPlease print 3 copies Associated Building Permit # 1. Project Address (Not mailing Worksheet for Fire Permit Application r� Mp City of Newport Beach - Building Division 'r} s�� 0 g F a� 7'� V ❑ Fire Sprinkler KFire Alarm ❑ Fire Misc Tenant Name S /— h f ccq 2. Description of Work 're 11/9T -E Extg Sq Ft New/Added Sq Ft Total Sq Ft ❑ New i�Add ❑ Alter ❑ Demo Check Appropriate Box for Applicant/Notification ❑ 3. Owner's Name Last First Floor Suite No N2 # Units Use Valuation $ # Stories 1-7 Owner's Address Owner's E-mail Address City State a Zip � Telephoned ❑ 4. Architect/Designer's Name Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State F77 Zip Telephoned ❑ 5. Engineer's Name Last First F777777 Lic. No.I Engineer's Address Engineer's E-mail Address u City State I Zip Telephoned ❑ 6. Contractor's Name Lastg/7,/-7 First Lic. No. F5 (Class C �D Contractor's Address Contractor's E-mail Address 2 11ft16ti -e r� ; �o/2/�)C. corms City %l��l2Lr State © Zip Telephone �G(J! 3/,FS OFFICE USE ONLY TYPE OF CONSTRUCTION OCCUPANCY- GROUP PERMIT NO. PLAN CHECK NO. ��/✓ �����` PLAN CHECK FEE $