HomeMy WebLinkAboutF2024-0468 - Permit ApplicationCity of Newport Beach Fire Permit Application
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Project Address
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Number and Street suite/unite/
zip
Associated Building Permit# X[ Z02U-027
Owner / Tenant
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Name
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Scope of work/
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AV 761,I
mist. description
cnnNeuctlon TI Addition Alteration Demolition
Check one
Commercial Fire Sprinkler
Number of Heads
Number of Stories
per building
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Multi-Family(3+units) ❑ Fire Alarm
r—Ilumber of Devices
M Number of
Dwelling Units
QResidential (1-2 units) Fire Underground
M Number of Risers
*Check one u Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:�h�ailia %PJI'2�D
Address: 27L77 S. C,YPres57F61'4ir12t •
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Phone#: p( Zp Email: cw?F,�t roje[fj4v r
0 Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: q7Z z 3 8, class:
Office Use
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Permit 2aZq - Q y6 6, Plan Check z0z vr_ 1 y36 Permit I Plan
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Number Number Check Fee $