HomeMy WebLinkAboutF2012-0243 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Department
Please print 3 copies
r7l Fire Sprinkler (;Fire Alarm (', Fire Misc
1. Project Address (Not mailing address)
Name (if Applicable)
2. Description of Work ��V" Rrr pryry SqgV4j�
If Sprinkler How Many Heads?
Check Appropriate Box for Applicant/Notification Information
City
Zip F77,.....77
2-U 12 —oZq'3
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Floor Suite No
# of Units (if Residential)
Use F77,
Valuation $
# Stories 177
OFFICE USE ONLY PERMIT NO. -T
PLAN CHECK NO.
Rev 1118107 Associated Building Permit # PLAN CHECK FEE $t