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HomeMy WebLinkAboutX2019-1531 - Permit ApplicationI Comm'I -residential Gity of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL \c<"., V, `'Building - Grading F -Drainage FUlec F, ech Fglum Cu Yd Cutl Cu Yd Fill Project Address (Not mailing address) - Flood F_ Fire 7 Liq F" Landslide 1 -N/A floor Suite No Description of Work Use K Const Type # Storieslz� # Units (if Res)F Valuation $ Material/Labor (( New/Add SF (� Remodel SF�( Garage/New/Add OWNER'S NAME Last First Owner's Address- - - Owner's E-mail Address � �`e\c po G' G� City State r� Zip F_ Telephone[— elephonedAPPLICANT'S APPLICANT'SNAME Last First° ` Applicants Address Applicant's E-mail Address (� Yvo 5N :zC)AOQ V<f cDM CltyVV\1 State �W Zip — Telephone . �jo !q ARCHITECT/DESIGNER'S NAME Last First�'1 Lic: No. Architect/Designer's Address Architect/Designer's E-mail Address City .State F Zip Telephone[ ENGINEER'S NAME Last (11AM First F Lic. No. Engineer's Address Engineer's E-mail Address City F— .State F_�. .Zip �� Telephoned CONTRACTORS NAME/COMPANY��U Lic.No. �I `t Classj #,` 1 Contractor's Address A Contractor's E-mail Address City 4 \{i� State I r W Zip I t1l /(�I, Telephone U SETBACKS REAR SETBACKS FRONT PERMIT NO. /1011 SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. i(jr USEZONE DEVELOPMENTNO PLAN CHECK FEES $