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HomeMy WebLinkAboutF2018-0465 - Permit ApplicationT::7 -ceG� Workshl--(eet for Fire Permit Application ��`W�Ra Print Form' City of Newport Beach -Building Division � Please print 3 copies �.;.ow Associated Building Permit # 'L01$• D21,5 5� Fire Sprinkler ❑ Fire Alarm ❑ Fire Misc 1. Project Address (Not mailing address) Floor Suite No Last Taw) First (K( Tenant Name # Units II��JJ 2. Description of Work 4111 Vilk, -A14 � /I Flee spn`, l FVe r S Gr � F� tr i1C�a4 5. Use ❑ 4. Architect/Designer's Name Last C/ First I J ak 0 1 Lic. No. Architect/Designer's Address Archect/Designer's E-mail Address l Extg Sq Ft New/Added Sq Ft Total Sq Ft Valuation $ City�, ��+/f�i.9 # Stories ❑ New ❑ Add ❑ Alter ❑ Demo Last First Lic. No. Check Appropriate Boz for Applicant/Notif!cation ❑ 3. Owner's Name Last Taw) First (K( Owner's Address Owner's E-mail Address 4111 Vilk, -A14 City State Zip F-71 �Telephone0 ❑ 4. Architect/Designer's Name Last C/ First I J ak 0 1 Lic. No. Architect/Designer's Address Archect/Designer's E-mail Address 59�(�a P �✓� rr� . City�, ��+/f�i.9 State I1 1 Zip q©' Telephone 31c) (� ❑ 5. Engineer's Name Last First Lic. No. Engineer's. Address Engineer's E-mail Address City State Zip r-77:7] Telephoned ❑6. Contractor's Name Last /�P�(��� S f/ First Lic. No. —7 Class �b Contractor's Address Contractor's E-mail Address Aoe _� s ah -1 City 1, („� State L/`R Zipz?o Telephone 7�� �/0.,oryy OFFICE USE ONLY PERMIT NO.%D(�.TI'rY/✓� TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY - GROUP ��I� PLAN CHECK FEE $