HomeMy WebLinkAboutX2020-1027 - Permit ApplicationPrint Form 1A
Comm'I Residential
for Combo Building & Solar Permit Application
City of Newport Beach - Building Division 7 2®Z® -1 D2 -1
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) ❑ Floodq�F
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Description of Work
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OWNERS NAME Last L/a/�K//✓ �/
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last ('i6 S'Z
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Applicant's Address Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
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Architect/Designer's Address `�---i–�-
�j Architect/Designer's E-mail Address
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pis City State Zip Telephone
ENGINEER'S NAME Last rich l5E5 First
—J Lic. No.
Engineer's Address Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
Lic. No. I ClassE7j
Contractor's Address
City State
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SETBACKS REAR
SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
USE ZONE DEVELOPMENT NO
Contractor's E-mail Address
Zip Telephoner
PERMIT NO.
PLAN CHECK NO. - f�N -T-://
PLAN CHECK FEES $