HomeMy WebLinkAboutS2016-0097 - Permit Application156 5 •R016
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
S�o16-Oog7
CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
I. PROJECT ADDRESS (NOT MAILING ADDRESS)
I 1 14 9(,D a i C�
LEGAL DESCRIPTION
LOT BLOCK ^y TRACT
2. DESCRIPTION OF WORK
iJ � Q tom✓ O 0 1 Od
— / ESTIMATED $ VALUATION
SWIMMING POOL
SPA LAY POOL FENCING ❑ DRAINAGE ❑
IFF/CE USE ONLY
PERMIT NO. � � �5U� ��`
PLAN CHECK NO. �� y
POOL P/C FEE $
DRAINAGE P/C FEE $
Farms\Pool spa appl (rev3-04).xls