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HomeMy WebLinkAboutX2018-0661 - Permit Applicationrrhe for Combo Building & Solar Permit Application f�JC �R City of Newport Beach - Building Division X ZO _ QW a _ Comm'I Y `- idential TE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 1 [—Building )—Grading r' ge rElec rMech >�41um Cu Yd cutF Cu Yd Fill Project (Not mailing address) C Flood I— Fire Liq r Landslide F_N/A�Floor Suite No (Address o Description of Work I 19e YT)d Use F Const Type #Stones #Units (if Res) �~ W -)-u Valuation $ G 6D i Material/tabor. J vV' New/Add SFF elSFF— Garage/New/Add OWNER'S NAME yv S .. First` �.% t Last d��� 046 Owner's Address Owner's E-mail Address W , 1M Aav s @ a o� y� City - State GY.i' ZiPQ �j ,3 Telephone�ZLtK , 1vLt r ► f APPLICANT'S NAME Last �Q���f S First Applicant's Address Applicant's E-mail Address City State ` Zip �— Telephoner ARCHITECT/DESIGNER'S NAME Last First 7— Lic. No. Architect/Designers Address Architect/Designer's E -mai Add s pity State �— Zip Telep neF__� ENGINEER'S NAME Last First i o. Engineer's Address Engineer's E-mail Add ss \ pity State Zip �— Tel hone) CONTRACTOR'S NAME/COMPANY Lic No. Class Contractors Address Contractor's E-mail Address City I _ State F— Zip �— Telephoned SETBACKS REAR S SETBACKS FRONT S PERMIT NO. SETBACKS LEFT �— SETBACKS RIGHT PLAN CHECK NO. USE•ZONE-' —Z; . _._.__. f N70 PLAN CHECK FEES $ EVELO�'INEN`-_ . _ ___ _