HomeMy WebLinkAboutE2020-0234 - Permit ApplicationU-7iuvu - 0Z6L(
PrintFo" Worksheet for Combo Building & Solar Permit Application OWN",
Residential (�` 1 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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Valuation SN
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OWNER'S NAME
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Owner's Address
Owners E-mail Address
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APPLICANT'S NAME
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last
First Lic. No. �—
Architect/Designers Address
Architect/Designers E-mail Address
City
State �—
Zip I Telephoner
ENGINEER'S NAME
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First S7ti.� LicNo.r,
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Engineers Address
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Engineers E-mail Address
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City PASi�O(ir�/�
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CONTRACTORSNAMElCOMPANY NANIA�T�IJ CorJs7rzU�lioJ Lic.No. I ClassF
Contractors Address
Contractor's E-mail Address
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state C /J ,
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BACKS REAR
SETBACKS FRONT
PERMIT NO.� *^ 62
SETBACKS LEFT
SETBACKS RIGHT
PLAN CHECK NO. J '
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $