HomeMy WebLinkAboutX2017-2991 - Permit Application (2)14
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City of Newport Beach - Building Division x`� I " Izr.aw j Comm'I - esidential NOTE: PLAN CHECK FEES DUE AT TIME OF SUMQ e
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Description of Work
Use Const Type F-
# Stories # Units (if Res)
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Valuatiod
New/Add SF�-- Remodel SF Garage/New/Add �—
Material/Labor `7-1
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OWNER'S NAME Last/'
CT d`-9-'��s-�Y Gd 2 r`c�, First
Owner's Address Owner's E-mail Address
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APPLICANT'S NAME Last c a tiL��c r:� First i �t
Applicant's Address Applicant's E-mail Address
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City
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ARCHITECT/DESIGNER'S NAME Last First
F Lic. No. �—
Architect/Designees Address Architect/Designer's E-mail Address
city � .. - State F--. zip F_ Telephone—
ENGINEER'S NAME Last F �/1
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Engineer's Address /tt C �' nI tL. (,4 � "` Address
Engineer's E-mail Address
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city L,'4 Zip Z�o(�fjTelephone
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CONTRACTOR'S NAME/COMPANY L' . No.-- CI
Contractor's Address Contractor's E -m d ress
City --� State I _ Zip Tele hone
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ J�