HomeMy WebLinkAboutX2018-3539 - Permit ApplicationW t for Combo Buildin JE Solar Permit Application
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City of Newport Beach - Building Division
Comm'I j Residential
NOTE: PLAN CHECK FEES
DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing
address) F_ Flood F_ Fire F_Liq F- Landslide A Floor Suite No
Ave.
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D scription of Work
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OWNER'S NAME Last
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Owners Address
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Owner's E-mail Address
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City
State
Zip O7E,-3 Telephone-61-'f/9-42-19
APPLICANT'S NAME Last f
First 1
Applicants Address
Applicant's E-mail Address
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State
Zip 90J'U,_ Telephonne) 3`.U�-36J
ARCHITECT/DESIGNER'S NAME
Last _ y L (
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First j � Lic. No. ACV
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Architect/Designers Address _
ArchitecUDesigner�E-mail Address
F
I F_City State
Zip �— TelephoneI
ENGINEER'S NAME Last i
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First N �®
C. q j
Engineer's Address
Engineer's E-mail Address
{i /9,93
City I L ��
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State I � �
Zip i `boo o/O v Telephone, Z/J� _ p 0,43(D
CONTRACTOR'S NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
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City ��.61 `.�/tr'k,l;
State
Zip 241 j TelephogeIc i�.._ !_^'
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fit,
( ZV 16
SETBACKS REAR
SETBACKS F NT
l PERM
SETBACKS LEFT
SETBACKS RIGHT
PLAN C K N
USE ZONE
DEVELOPMENT NO'LA
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CH,F�'i,k. FEES $ -� L
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