HomeMy WebLinkAboutPV2019-069 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application gey)— Comm'I Residential City of Newport Beach - Building Divis %/b �•0 Le
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work 91
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# Stories . # Units (if Res)
Valuation sym�}m
Material/Labor
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OWNER'S NAME Last 1 5&1 A -A -s First
Owner's Address Owner's E-mail Address
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APPLICANT'S NAME Last First
Applicant's Address Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last I 44,4// J First F 6; a Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
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