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HomeMy WebLinkAboutXR2023-0260 - Permit Application- LiC. No. Architect/Designer's E-mail Address Zip �— Telephone LastI_X-1 RD .__ _ _ _ First Engineer's Address Si Q(Zvv Cn1�101-, low - City L eta Il liu N CONTRACTOR'S NAME/COMPANY x tma Comm'I [ Residential Worksheet for Building Combo Permit Application City of Newport Beach - Building Division NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL L-;ounaing I Grading j-"Drainage r Elec Project Address of address) r Mech j- Plum CU Yd Cut - Cu Yd Fill New/Add SF� F� RemodelS - --- - --- Garage/New/Add r—' OWNER'S NAME Last �y _ __ _ First Owner's Address `� � �- Owner's E-mail Address City - r� --`�� State C APPLICANT'S NAME Last Floor Suite No Use # Storied ' _ # Units (if Res)IiF— Zip 9`L�� z Telenhnno� abort 2 r"rt`i- First � — Applicant's AddressN�---_---------' Applicant's E-mail Address city �R(s +�J`f L/S Cy, _aCOJ4�` —` ' ---. State �- Zip Telephone ARf:F11TMTrnec�n. — Last Architect/Designer's Address City -- -- --- _ State F77 ENGINEER'S NAME First Engineer's E-mail Address Lic. No. S :x State I �t Zlp - 1%QS Telephone %0 fVCsNS S M w l � F-2 v�L _L -- Lic. No. 63 %4.ZT U Class Contractor's Address - .. Contractor's E-mail Address city � � ^n — State ,YIL� ENERC,Y air cmc Q ------------------- Zip 6�—�(��— Telephone FIRE P/C FEE $ GRADING P/C FEE $ PERMIT NO. PLANNING P/C FEE $ PLAN CHECK N0. ELEC/PLUWMECH P/C FEE$ (✓Zt7L3' uni DEVELOPMENT # PLAN CHECK FEE $ TOTAL FEES PAin a