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HomeMy WebLinkAboutF2022-0394 - Permit ApplicationWorksheet for Fire Permit Application City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # Fire Sprinkler Fire Alarm ❑ Fire Misc 1. Project Address (Not mailing address) Tenant Name - 2. Description of Work FloorNo �Suite S L # Units C Use I— Valuation $ , a Extg Sq Ft �� New/Added Sq Ft Total Sq Ft # j) ❑ New ❑Add ❑' Stories Alter ❑Demo l� J cneCK Appropriate sox for Applicant/Notification ❑ 3. Owner's Name Last�I rst Owner's Address Owners E-mail Address I A Vo)J City State FZX71 Zip ZG - Telephoneffl� c._ t'� -� .-I �Lic. 4. Architect/Designer's Name Last First No. �i Architect/Designers Address Architect/Designers E-mail Address i City State Zip _J Telephone[_.— ❑ S. Engineer's Name Last i i First17 t a< Lic. No.� Engineers Address Engineer's E-mail Address . yL ,./ — --W —- City/ �d �� /,� �� State Imo! Zip Telephone d • �0 (,ba© ❑ 6. Contractor's Name Last tv t i Lic. No. Class Contractors Address Contractor's E-mail Address City i State C Zip [—� Telephone OFFICE USE ONLY PERMITNO. FZOZZ. 03gq TYPE OF CONSTRUCTION PLAN CHECK NO. Pc 79ZZ - fSu 8 OCCUPANCY - GROUP PLAN CHECK FEE $