HomeMy WebLinkAboutX2020-0283 - Permit ApplicationComm1 ❑ Residential
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City of Newport Beach - BuildingDivision �¢
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not maiiing address) Flood C Fir Lq Landslide
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Description of Work
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# Stories❑ # Units (tf Res)❑
New/Add Remodel SF Garage/New/Add Valuatio $ �1 Material ahorVVL,
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OWNER'S NAME
Last V�✓ First
Owner's Address
1� Owner's E-mail Address
City State. Zip C% Telephone
APPLICANT'S NAME Last I First
Applicant's Address
Applicant's E-mail Address
City G �Vt q CLQ State 6 1 ZiP=j Telephone-"
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ARCHITECT/DESIGNER'S NAME Last
First Lic. No,
Architect/Designer's Address Architect/Designer's E-mail Address
city State Zip Telephoned /
ENGINEER'S NAMEdi
Last ��. I First �f�j Lic.o.
Engineer's Address Engine er'sE-mail Address
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.City , } 1 .� State Zip Telephone C�2-(„.,
CONTRACTOR'S NAMEICJOMPANY i � 71' �-�DA" -� i� Lic No, � � ; j -7 Class
Contractors Address Contractor's.E-mail Address
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City J ,yI - \rte , State b Zip +� Telephone
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SETBACKS REAR - SETBACKS FRONT 1,
PERMITNC.
SETBACKS LEFT SETBACKS RIGHT HECK N .
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DEVELOPMENT NO, . HECKFEES $