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HomeMy WebLinkAboutX2017-3939 - Permit ApplicationComm'I I Building i IS XqV A-- - 301?,'I for Combo Building & Solar Permit Applicati City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL e lec j 'Tech lu Cu Yd cucF Cu Yd Pill a,ildra�5i FloodI Fir iq I Landslide [N/A Floor roject Address (Not rtoa®unM of Work New/Add SF Remodel SF UseonstType F # Sto7esrZ # Units (if Res) J��['VCUd d r Valuation' Garage/New/Add Material/Labor I First) �� �� OWNER'S NAME ast �5295 Owner's E-mail Address Owner's Address g ---- State zr� Zip q &)7 Telephoner�d4���7'�7dG City APPLICANT'S NAME Last I JZIZ f Applicant's Address 01 i-� L_ l i°' D 1� State �t city ArchitectrDesignets Address City ENGINEER'S NAME Last F6) m i) i-4 (Engineer's Address I State City l CONTRACTOR'S NAME/COMPANY Contractor's Address City SETBACKS REAR SETBACKS LEI USE ZONE l Firstj. Ljm4'j ,'i - Applicanfs E-mail Address Zip //'� Telephone / 3 / - 17166r/ Lic. No. ArchitecUDesigner's E-mail Address CC YIt�Tj First PiP&'nJiS Lic.Noa'1 Engineer's E-mail Address v Zip Telephoned Lic No. �- Class Contractor's E-mail Address I State Zip Telephone; SETBACKS FRONT PERMIT NO. )0_00L �I SETBACKS RIGHT PLAN CHECK N9. DEVELOPMENT NO PLAN CHECK FEES $