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HomeMy WebLinkAboutpv2021-093 - Permit ApplicationPtl Z 1 ✓ i , l Print For Vllorks . eet for Combo Building & Solar Permit Application as, r comm" `Residential City of Newport Beach - Building Division ,+"�,11 NOTE: PLAN CHECK FEES DUE AT TIME of si iRnniTTAi F -Building Grading F rainse g ' :Iec �Mech rPlum cu vdcut� Cu Yd Fill Project Address (Not mailing addpress) F_ Flood r Fire r Liq F_ Landslide �N/A T'Fl or, Suite No (� $`�`C Description of Work Use' CopstType #Stories # Units�(if _- Valuation $ Z Material/Labor C57-90 r—,_ New/Add SF�— Remodel SF�— Garage/New/Add y!�1J - First OWNER'S NAME Last Zl Va1--ON (al -kY i a�© � / Owners Address/Owner's E-mail Address S� C �r 0u1iDE_F- (N:ti6!Z�K_ City StatePa_ 5 Zip �?E?7, Telephoned j/n[4AXj�, �. APPLICANT'S NAME LastltiFirst Le� r Applicants Address Applicant's E-mail nnn_ City�If,'>✓ ?� (Q -G State - ZipF C"` —r -)—S " .Telephone �( it , (.tiL.f- -.. ARCHITECT/DESIGNER'S NAME Last %N �� First �—�— Lic. No.F_ Address Architect/Designer's E-mail Address 1 7 - City r------. State— Zip (`-- Telephoner— ENGINEER'S NAME Last `"w First Lic. No.l Engineer's Address A ,i 'r ` % ,r-Engmeer'si;,4 ail Address y" City State r— Zip F— Telephone) CONTRACTOR'SNAME/COMPANY r i Lic No. �ClassFE-1 L Contractor's Address Contractor's E-mail Address �4 2; �--72&- J 4 City (f (0L State ( Zip 61 r>��rJ Telephone cii �LZ SETBACKS REAR SETBACKS FRONT PERMIT NO. V Ar, .. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO _.,� , "` pkN CHECK FEES $