HomeMy WebLinkAboutX2019-3690 - Permit ApplicationWorksheet for Combo Building & Solar Permit Applicationgo
City of Newport Beach - Building Division
Comm'1 [Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ,.x�l� _ 3�� ,
[Building [Grading [Drainage ❑Flee [Meeh [Plum cuvdcucYd Hi
Project Address (Not mailing address) f—, Flood [Fire [?Liq [Landslide [NSA Floor Suite No
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DescriRtioq.of Work
Use i Const Type
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SETBACKS LEFT SETBACKS RIGHT; PLAN,CHECK NO:
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $
CONTRACTOR'S NAME/COMPANY
I Llc. No. �- Class 77
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'Contractors' Address
Contractor's E-mail Address
1
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Zip
FTelephone
City
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SETBACKS REAR
SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT; PLAN,CHECK NO:
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $