HomeMy WebLinkAboutX2019-2237 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
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4,F Comm'[ r -Residential City of Newport Beach - Building Division 107.20/9
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X 20/9-2237
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Project Address (Not mailing addres Flood irj Li ndslide f N/A Floor Suite No
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Description of Work
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Use F—Const Type F
# Stories #Units (if Res)
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a uation $
Material/Labor
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OWNER'S NAME LastC;r h ! Co V< Coa First
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Owner's Address
Owner's -mail Address
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APPLICANT'S NAME Last( (�`y1uJ�
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First �, /c -r
Applicant's Address
Applicant's E-mail Address
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ARCHITECT/'DESIGNER'S NAME Last
First [_ Lic. No.
Architect/Designer's Address
Architect/Designer's E-mail Address
City State F
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ENGINEER'S NAME Last I kc),d, It
First �c,v Lic. No. O
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Engineers Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY t� r Lic. No., -7q? J 1/J^ Class
Contractor's AddressContractor's
E-mail Address ]ply
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. It
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $