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HomeMy WebLinkAboutF2023-0308 - Permit ApplicationPrint Form Worksheet for Fire Permit Application U11 City of Newport Beach - Building Division Please print 3 copies Associated Building Permit # f_Z_Fire`Sprinkler r Fire Alarm r Fire Misc 1. Project Address (Not mailing address) Floor Suite No Tenant Name r I ti� b (D JD y # Units 2. Description Qof Work / _ c,q(' y p xC l,j r Use �— Extg Sq Ft 6 I'/ New/Added Sq Ft �— Total Sq Ft �— Valuation $ F1 i QyJ r New r Add r7 Alter r- Demo # Stories F pp[ UPI TALC DUx rvr mppncant/Notlncatton j— 3. Owner's Name Last First F-- Owner's Address Owner's E-mail Address City I State F_ Zip F_ TelephoneF_ F_ 4. Architect/Designer's Name Last First F_ Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City I State �— Zip F_ TelephoneF— r 5. Engineer's Name Last First F__ Lic. No. �— Engineer's Address Engineer's E-mail Address City F— State �— Zip F_ TelephoneF— . Contractor's Name Last } IPZi4 A First 5 Al (6�- Lic No. � I L Class C y Contractor's Address V Tcdr F1( Contractor's E-mail Address City %PC-)u . A p. State �� Zip TelephoneF OFFICE USE ONLY �� C jf Z� PERMIT NO. TYPE OF CONSTRUCTION L I PLAN CHECK NO. NC l-' Z `? �.22� W] I OCCUPANCY - GROUP PLAN CHECK FEE $