HomeMy WebLinkAboutF2019-0358 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
Please print 3 copies
Associated Building Permit # I 1 IV] Fire Sprinkler [i Fire Alarm F -I Fire Misc
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Tenant Name _...... __. __. __.i # Units
2.. Description of Work
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Owner's E-mail Address
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Owner's Name Last �—
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Owner's Address ��
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Owner's E-mail Address
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First /tA�— Lic. No. LIQ,
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Architect/Designevr's1E-mail Address
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F 5. Engineer's Name Last
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Engineer's E-mail Address
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6. Contractor's Name Last yjh{ f�r�t Lic. No. (3)� Cla s ��
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Contractors Address
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OFFICE USE ONLY
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TYPE OF CONSTRUCTION
PLAN CHECK NO.OCCUPANCY-GROUPPLAN
CHECK FEE $
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