HomeMy WebLinkAboutX2017-3824 - Permit Applicationx-7-
Worksheet for Combo Building &, Solar Permit Application 00.1 City of Newport Beach -,Building Division
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of Work
Use ConstType
Description
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Valuation
Remodel SF— Garage/New/Add �i Material/Labor
New/Add SF (W
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OWNER'SNAME Lastw
Owner's Address Owner's E-mail Address
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City— 1 State F— Zip gZ Telephone ll?`I 0
APPLICANT'S NAME Last UE? First
Applicant's Address - y'� Applicants E-mail , ddress
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Tele hone
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State Zi (I g_
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ARCHITECT/DESIGNER'S NAME Last First — Lic. No. �—
Architect/Designer's Address Architect/Designees E-mail Address
City — — State �— Zip F — Telephoner
NGINEER'S NAME Last � � �-t SLY.I d �� First
' Lic. No.� L
'neer•s Address Engineer's E-mail Address
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State ICA Zip %(' / >ts Telephone 7�j3zZ
Lic. No. FWrl Class
'S NAME/COMPANY VCUn
Contractor's E-mail Address '
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Statep � Tale one
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SETBACKS FRONT PERMIT NO. ` e;
SETBACKS RIGHT PLAN CHECK NO.
DEVELOPMENT
NO
PLAN CHECK FEES $ —