HomeMy WebLinkAboutX2019-4161 - Permit ApplicationuIL�
Wgrksheet
for Combo Building & Solar Permit Application
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City of Newport Beach Building Division o
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NOTE: PLAN'CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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ARCHITECT/DESIGNER'S NAME Last - r Al First
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' ENGINEERS NAME
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State
Zip
Telephone
CONTRACTOR'S NAME/COMPANY
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ContractoF''6=mail Address
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City
State Telephone
SETBACKS REAR
SETBACKS FRONTPERMIT NO. V,110 IM -01 vil
SETBACKS LEFT
SETBACKS RIGHT ` PLAN CHECK NO.
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DEVELOPMENT NO-
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