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HomeMy WebLinkAboutF2018-0043 - Permit ApplicationWorksheet for Fire Permit Application 1" b 2— VO4 3 City of Newport Beach - Building Divisi Please print 3 copies 1" 0 Associated Building Permit # ve Sprinkler [ Fire Alarm r Fire Misc 1. Project Address (Not mailing address) -- First F Floor Suite No , Owner's E-mail Address city State �. Zip F7777 Telephone ,(— 4. Architect/Designer's Name Last F First F Lic No. Units Tenant Name# City State Zip F Telephoned 2. Description of Work First F_ Lic. No.� -. Engineer's Address Engineer's E-mail Address � Use Extq Sq Ft _ New/Added Sq Ft Total Sq Ft F777 Valuation$.. # Stories New I"• Add (!•••••• Alter F_ Demo OFFICE USE ONLY - Check Appropriate Box for Applicant/Notification F 3. Owner's Name Last -- First F Owner's Address , Owner's E-mail Address city State �. Zip F7777 Telephone ,(— 4. Architect/Designer's Name Last F First F Lic No. Architect/Designer's Address Architect/Designers E-mail Address City State Zip F Telephoned F_ 5. Engineer's Name Last First F_ Lic. No.� -. Engineer's Address Engineer's E-mail Address City State F77 Zip F-7— Telephoned— F_ 6. Contractor's Name Last st First \rn©ham Lic No. —}��rj Class��� Contractor's Address Contractor's E-mail Addes City State Zip I—�—gyp -�—� Telephonej'j_, OFFICE USE ONLY PERMIT NO. ��' co c I. TYPE OF CONSTRUCTION nu -7 V PLAN CHECK NO. OCCUPANCY -GROUP v V I PLAN CHECK FEE $