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HomeMy WebLinkAboutX2020-1538 - Permit Applicationruin[ rorm warKsheet for Combo Building & Solar Permit Application F)�-&O mm l F- Residential City of Newport Beach - Building Division NOTE; PLAN CHECK FEES DUE AT TIME OF SUBMITTAL r-BuildingrGrading F -Drainage (-Elec FMeth rPlum Cu yd cut CU Yd FII Project Address (Not mailing addrailil F Flood Fire (-, Ll q i Landslide 1 -N/A Floor Suite No ,.) l vL.. tic, �✓.v.,. ;yi �..: t�"p� -�".�S �(F_I I - Descrip}fon of Work �� fJ Use r Const Type F c1Fwr1Q s uv s 4. fc �✓ «4 "y r— l` # Stories #Units (if Res)I 1N r 11 Applicant's Address _._ �! Applicant's E-mailAddn:ss �� city F "/' i3 StateI--! Zip g2(? fa / Tele hone G p � V g& Nglr ARCHITECT/DESIGNER'S NAME Last F First I--- Lia No. ArchitecKDesigner's Address ArchitectlDesigner's E-mail Address City State F— Telephoner First �— Lic. No.F ENGINEER`S NAME Last �— Engineer's Address Engineer's E-mail Address City F State J-- Zip TelephaneF--" I CONTRACTOR'SNAME/COMPANY Lic. NO.�fJ Class Contractor's Address Contractor's E-mail Address'CQCf� �.C, Ci city �c dr✓ % G_- State �/� �- ZiP � �'..� Telephone �' .?Q IZ �t i Y 7 G SETBACKS REAR SETBACKS SETBACKS FRONT PERMIT NO. s LEFT SETBACKS RIGHT PLAN CHECK NO.9 USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ I I