HomeMy WebLinkAboutF2021-0519 - Permit Application (5)Print Form
for Fire
Pleaseprint3copies Work city ofNepotBeach-Permit
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Associated Building Permit #
F- Fire Sprinkler r Fire Alarm F_ Fire Misc
1. Project Address (Not mailing address) Floor Suite No
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Tenant Name RHONE APPAREL INC. # Units F
2. Description of Work
Use Retail
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Extg Sq Ft F_New/Added
Valuation $ 67p, ,
Sq FtTotal Total Sq Ft
# Stories
F_New F_Add r Alter F_Demo
Check Appropriate Box for Applicant/Notification
3. Owner's Name Last
First
Owner's Address
Owners E-mail Address
City
State F_ Zip I Telephone
F 4. Architect[Designer's Name
Last Santa Cruz First Kelley Lic. No.
Architect/Designers Address
Architect/Designer's E-mail Address
3750 Schaufele
Kelley.SantaCruz@interfacesys.com
City Long Beach
State CA Zip g0808 Telephone 562.353.4680
F_ 5. Engineer's Name Last Smart First Kayleen Lic. No.
Engineers Address
Engineer's E-mail Address
City
State F_ Zip F Telephone
I— 6. Contractor's Name Last
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First Lic. Nd.JJ-/ /a m ela s O
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Contractors Address
Contractor's E-mail Address
City
State F_ Zip F_ TelephoneF—
OFFICE USE ONLY
PERMIT NO.
TYPE OF CONSTRUCTION
PLAN CHECK NO.
OCCUPANCY - GROUP
`1 t I PLAN CHECK FEE $
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