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HomeMy WebLinkAboutX2022-0792 - Permit Application (3)sion NOTE: PLAN CHECK FEES D�liTITIIIME OFSUBMITTAL C1 Print Form Worksheet for Combo Building& Solar Permit Application )X Comm'I IX Residential City of Newportg rX`Building jX Grading FXDrainage (x Ele jX Mech r Plu Cu Yd CutF_ Cu Yd Fill Project Address (Not mailing address) Ix Flood Fx_ Fire CX Liq rX Landslide IXN/A Floor Suite No Description of Work Use ConstType� # Stories # Units (if Res)F L)N - Vf MaterialL$abor j/ New/AddSFI Remodel SFF- Garage/New/Add a/New/Add OWNER'S N�A:E Last rApy- �-T First d(M [7tQZ.Owner's 7 ' Owner's E-mail Address City C �►�'f � 't24-� State Zip(124�n Teleplhond&k?) -7:�f 2 APPLICANT'S NAM Last (55p{Sp�_ First Applica UL dress Applicant's E-mail Address City �_--- State F Zip F Telephoned ARCHITECT/DESIGNER'S NAME Last First Lic. No. t;'.,Zi§94� Architect/Designer's Address ° Architect/Desn is E-mail Address Ait�fLL_ VVIPe co%', City I LONG F,( I State �` Zip r_ Telephon sD^10_f ^ ENGINEER'S NAME Last First I� Lic. No.1 Engineer's Address Engineer's E-mail Address City � State �� Zip �� TelephoneF_ CONTRACTOR'S NAME/COMPANY EYtfVnCvNkuClass s Contractor's Address Contractor's E-mail Address 58Sri A41 PL �•7�� c`CScgneK E/12 'ACY 1 NaN, <oM City q�9L 3M A State <A Zip c,) z g Telephoned 7,7 SETBACKS REAR SETBACKS FRONT PERMIT NO, SETBACKS LEFT SETBACKS RIGHT t , PLAN CHECK NO. 111 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $