HomeMy WebLinkAboutX2019-1082 - Permit Application (2)xo. 01 - (0 o- t-( Lf (4 0a (Add fQ117`(
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City of Newport Beach - Building Division
: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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OWNER'S NAME
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Owner's E-mail Address
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APPLICANT'S NAME
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Applicant's. Address
Applicants E-mail Address
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ARCHITECT/DESIGNER'S NAME Last First �_ Lic No.
Architect/Designees Address
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ENGINEER'S NAME
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CONTRACTOR'S NAME/COMPANY q17>l�Lic No: �y Class
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. }
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DEVELOPMENT NO PLAN CHECK FEES $