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HomeMy WebLinkAboutX2019-0079 - Permit ApplicationWorksheet for ComWo. WId g Solar Permit Application ° a I, _ City of Newport Beach- Buildin Division ❑ Comm'I Residential g �13Clr1V.5 �� NOTE; PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 50 ++" U�Idin' g irdding " �falnage , eC ech " "�[ turn Cu Yd Cut Cu Yd Fill' C _ Proiecl Ad*04S (Kgi�M ding address) ❑ Flood- ❑ Fire", ,Liq -❑ Lartdslide ON/A Flovr, �SujteNffo: � Q. Decrrpt�on of Work q� Use ConsiType V� :Stories # Wpits`(if Res)©; Ne /Add,SF Remodel SF " Gara ew Add 9 Valuation $ Material/Cabo _ , ... � E �'O NERS,NA E r I Owner's Address k `' Owners E 7!@il'�jtldre�s ;" k City State Zip. Felephon I APPLICANT 5 NAME Last First `" ApplloantsAddtess+ApplicantsEmalll�ddrgss" i 1 is V i e� 5r rClty J P a j T ✓ $tate Zr IP �T fe hone i r < a 9 P f v k Pk , iARCHITEC SIG First, ; ; Lic No Archi�ecUDeslgners Atldress, Architect%Designers Elrnail Address City State Zip, Telephone 4 a ENKaINEER'$ NAME Last First Lrc No ,,, 'G?Xii Engineer s Rddress Engineer s mail.Address Cit �(j�wr ' State Zip t7� Telephone ''CQNTRACFOR'S NAME/COMPANY �� Lic No �I✓t;( flre.t�"" ContractotsPddress. Contraptor'sE"mai-Address- I City State Zip Telephone �t Ecs► o, b u11. SETBACKS REAR SETBACKS FRONT PERMIT NO. SS LEFT SETBACKS RIGHT _ PLAN CHECK i U. ZONE DEVELOPMENT NO PLAN CHECK FEES $