HomeMy WebLinkAboutF2024-0141 - Permit Application_4t--AwS3 07
City of Newport Beach Fire Permit Application
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Project Address
Number and Street suite/unit
Zip
Associated Building Permit #
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Owner / Tenant
Name
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Scope of work/
misc. description
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New TI
Construction Addition Alteration Demolition
*Check one
Commercial Fire Sprinkler
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3 Number of FS Heads
Number of Stories per
building
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Multi -Family (3+units) n Fire AlarmNumber
of FA Devices ❑
Number of Dwelling
Residential (1-2 units) Fire Underground
Number of Risers
Units
*Check one Fire Misc.
*Write in accurate count
*describe above
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4 Applicant Information Name: A"+- Sta1f d
Address: 2 2 (t`
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Designer Information Name:
Address:
Phone#: Email:
Check if same as Contractor
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Address:
Phone#: Email:
License#: ( 1,0 p L-I Class: G-1
Office Use [Permit Plan Check Permit/Plan
Number Number Check Fee $
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