HomeMy WebLinkAboutF2020-0040 - Permit ApplicationWorksheet for Fire Permit Application
City of Newport Beach - Building Division
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Associated Building Permit # �- - FV Fire Sprinkler [_ Fire Alarm r- Fire Misc
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1. Project Address (Not mailing address) Floor Suite No
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Tenant Name # Units I "-
2. Description of Work
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Check Appropriate Box for Applicant/Notification
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F_ 3. Owner's Name Last
First
Owner's Address
Owner's E-mail Address
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Zip r- Telephoned
F_ 4. t/Designer's Name
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First F Lic. No.
Architect/D signer's Address
Architect/Designees E-mail Address
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Zip F TelephoneF
(- 5. Engineer's Name Last F
W.. First I�� Lic. No. F_,
Engineer's Address
Engineer's E-mail Address
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Zip F_ TelephoneF_
6. Contractor's Name Last �leotiE Z First P;qVeq_ Lic No. F74153&3 Class C - 1(,
Contractor's Address
Contractors E-mail Address
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26 PERMIT NO.
TYPE OF CONSTRUCTIONLt/
PLAN CHECK NO. �s
OCCUPANCY - GROUP
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