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HomeMy WebLinkAboutS2020-0013 - Permit Application522 WORKSHEET FOR POOL COMBINATION ?-U 2,C) U61/ 3 PERMITAppLICATiON CITY OF NEWPORT BEACH ���Z 2 BUILDING DIVISION 3T MAILING ADnao�n. 121ye ry Ici., 0 2. DESCRIPTION OF WORK SWIMMING POOL ❑ SPA Check Ap— pr a boX for Annfi ...A 13 CITY22 12�1� ►2��cle , � cw PO4 i3QA,h STATE ] 4. ENGINEER'S NAME CA Pool LAST �n InP�YIh Inc� L��her 4Dt—D—RESS IZoi N- TvSilh Ave, - CITY AhAr'Im /�S``TATE 5. CONTRACTOR'S NAME " A • CAr�ina� gaols ��ip�5 I he ADDRESS Cot-- Lv, CITY^ i�►� r/Y3p� STATE CA :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ FormslPoof spa aPPI (rev3-04).x1s SU z� . (!b �3 _ ESTIMATED $ VALUATION 25 POOL FENCING ❑ DRAINAGE ❑ �hol: Ceredq C�w�11�ar�flgclJl ZIP PHONE NO. -- �Z� b'' 'lt`t _5 5-7�2 _ FIRST 1 O J LICENSE NO. ►� � �I�n •gym p� ZIP PHONE NO. �Z`6C17 7 )� (035 6 Vo 'SINEsc i �rr...� Qt� G S3 =tlNTRACTORB E-MAIL ADSS'440b CIak 2L7 DR Lh ke ^1Gh-teIiKt�n ot7 SWIG CIO I �VI2T ZIP nvryt NO. gZu'?�j 7bb 2'f 0 `fis7�O