HomeMy WebLinkAboutXR2022-2152 - Permit ApplicationPrint Form_ _ I Worksheet for Combo Building & Solar Permit Application Q-ftkifi�
rVomm'I Residential City of Newport Beach - Building Division
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Valuation $
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OWNER'S NAME Last �/LL/ jN f � First
Owner's Address
Owner's E-mail Address
City zip[-- TelephoneF---
APPLICANT'S NAME Last First
Applicant'sAddress Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last J�J�2�J /�
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ENGINEER'S NAME Last First Lic. No.F--
Engineer's Address Engineer's E-mail Address
City State F® Zip I Telephoner
CONTRACTOR'S NAME/COMPANY Lic No. �— ClassF_
Contractor's Address Contractor's E-mail Address
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City State F Zip �— Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. X �201 ii
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $