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HomeMy WebLinkAboutX2020-2257 - Permit ApplicationtrtrorKsneet for Combo Building Comm'IResidential City of Newport BeacBuilding p �iPon Permit Ap p`lication NOTE: P201.E " LAN CHECK FEES DUE AT TIME OF SUBMITTAL ZS V wilding � Grading Draina a r g j- Elec j Mech j"''''''----- Project Address (Not mailing address [ Flood �' Plum cwd Landslide [ Cu Yd FIII ) r Fire r Liq r Landslide rN/A / Floor Suite No Description ofWorM k qy 64£(7 a Ls YG(Y'Jyit Q (/l JN Use r'� Const Type V % -' --- lL(j eW56 (A(CL(( -j-D GtdGI RP `� sS CL}tj L9'W > #Stories' # Units (if Res) New/Add SF�'--- g--- -- �� I %k Remodel SFAIA- Garage/New/Add/ Valuation $ PC-' OWNER'S NAME Material/Labor Last tVlG11.tL1 Ih Yhailat Owner's Address Sb• First �1.��� Pe:I r( x(33 ���W �6 Owner's E-mail Address State q �� dill✓ �Fpp city � � G�tC��-•U�,Lt�N( Zip '7 ' Telephone APPLICANTS NAME.r�� I Last Applicant's Address ___ First (� Vim l X13' 3 �iiW Pb�7"�R �Ay Applicant's E-mailA�ddress city 00Y"r `3Cf-1F Statnppa f=(-- s -0SZ.. Go Zip Telephone �'''� ARCHITECT/DESIGNERS NAME �X33- zq Last �pl,1FJkM�y Architect/Designer's Address - First (Z i Gp Architect/Designer's E-mail Address Lic. No. UOP City G�sr — _ a� State G5.i ZiP 2lP Telephone(�G�-- ENGINEER'S NAME���� Last Engineer's Address First -�� M Lic. No. Gtr. '+:-j q&C) RI bL-je 1p<Engineer's E-mail Address City State zip � �G !J Q paCz.fU/1�,�� j {�CJgD Telephone CONTRACTOR'S NAME/COMPANY] /TT�rr Contractor's Address ' -(I Lic. No• Class Contractor's E-mail Address city FR USp 1361 I- stateTelephhoneone Zip� , - _ SETBACKS REAR SETBACKS FRONT SETBACKS LEFT SETBACKS RIGHT PERMIT NO. USE ZONE PLAN CHECK NO. DEVELOPMENT NO PLAN CHECK FEES R