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HomeMy WebLinkAboutS2020-0209 - Permit ApplicationN, WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION =< u N r CITY OF NEWPORT BEACH x r BUILDING DIVISION PLEASE PRINT OR TYPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) W9-- C)LD LOLAjZ-S& LEGAL DESCRIPTION LOT BLOCK TRACT 2. DEESSCRIIPT,IIO-N OF WORK bvZW } PO� L- jl yo yr 1� �Z ?� �'� rj V�S --t C) ✓�/I0 EVA P 1+ E Le C •qu 07 ESTIMATED $ VALUATION 40 OCP5 P\�,l� Qr-,dr\r-5 cp, oprjj SWIMMING POOL [}--- SPA EV POOL FENCING ❑ DRAINAGE Check ADDrooriate box for Aonlicant 3. OWNER'S NAME LAST FIRST Jt°/IClz p I2v9f� ADDRESS OWNER'S E-MAIL ADDRESS 0 Qx -%,�T- CITY STATE ZIP PHONE NO. 15 Cid gz((6p 8-6t35Z- 4. ENGINEER'S NAME LAST FIRST LICENSE NO. 1;/ -c ,ry Pf to 13 ✓q--( ti a�oo 3 ADDRESS - ENGINEER'S E-MAIL ADDRESS 20 , f°N l'" CITY STATE ZIP -209 40 Pme,I Al CA— PHONE NO. A 63 -�AOb 5. NAME BUSINESS LICENSE STATE LICENSE pCONTRACTOR'S . ��%�• b L.5li: I QC e3 � ©-5 � b o� 1 No. 6±las 'ADDRESS CONTRACTOR'S E-MAIL ADDRESS �j ,, 1 7 CITY STATE ZIP PHONE NO. t W,15 c4- GZ6b s :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL PIC FEE $ DRAINAGE P/C FEE $ Forms\Pool spa appl (rev3-04).xls a3-c.�3- zd�-6 Com- 0"1i 0 1,