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HomeMy WebLinkAboutX2019-2568 - Permit Application_Print Farm Wo et for Combo Building &Solar Permit Application ��¢ Re �/ J_ Comm'I r ,tzesidehtial v City of New Beach - Building Division Z ®� 61 • 2� �j NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL X1,11 Building rGradingainage rElec (_Mech j®Plum cu yd cut- Cu Yd Fill Project Address (Not mailing address)_ r Flood r Fire Li4 F_ Landslide N A Floor Suite No 7af F_ Description of Work a—�! Use � ConstType �� P4 F, "�--� �� r t� � ©� # Stories? # Units (if Res) t X -7 / Valuation $ New/Add SF — - Remodel SF�— -- - Garage/New/Add r-- Material/Labor OWNER'S NAME Last -7ti7 It S v? it Owner's Address Owner's E-mail Address city �s tate ' Zip Telephone[ -._----- APPLICANT'S NAME Last (�(� O� First ` l Applicants,Address Applicant's E-mail Address fl City e A /� �`2j� State �— Zip �j°� Telephone � ARCHITECT/DESIGNER'S NAME Last r - - First I-..—._-_ Lic No. l a� Architect/Designer's Address Architect/Designer's E-mail Address city State Zip Tele hone ENGINEER'S NAME Last First n, Lic. No. j79 t� Engineer's Address Engineer's E-mail Address t) • CV SS77 � City /1 � State Zip Telephone C CONTRACTOR'S NAME/COMPANY Lic No. Class ��1 Contractor's Address Contractor's E-mail Address City�J Stblf 3 _�5 ate( _ Zip Telephone/ \ P z / 7 SETBACKS REAR TBACKS FRONT PERMIT NO 74 t f�. / (V d SETBACKS LEF - SETBACKS RIGHT Pm , USE ZONE 4� DEVELOPMENT NO N H K FEES $ J