HomeMy WebLinkAboutS2018-0096 - Permit Applicationuv
WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
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CITY OF NEWPORT BEACH
BUILDING DIVISION
PLEASE PRINT OR TYPE
K1, PROJECT ADDRESS (NOT MAILING ADDRESS) .
LEGAL DESCRIPTION
LOT BLOCK TRACT
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'C T T�\N -7 K
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�{ W ESTIMATED $VALUATION BCKS
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SWIMMING POOL] SPA POOL FENCING ElDRAINAGE ❑
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FIRST
3. OWNER'S NAME
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OWNER'S E-MAIL ADDRESS
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CITY TATE
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FIRST LICENSE NO.
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ENGINEER'SE-MAILADDRESS
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CITY ATE
ZIP PHONE NO.00
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5 CONTRACTOR'S NAME
BUSINESS LICENSE TATELICENSE
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CONTRACTOR'S E-MAIL ADDRESS
CITY STATE
ZIP
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:E USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xis