HomeMy WebLinkAboutX2020-1622 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I F Residential City of Newport Beach - Building Division X2.020 _-� �0q
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Remodel ( 7
SF:�Lr —
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rN/A Floor
Suite No
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Stories # Units (if Res)
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r� First . J 9
Owner's Address Fl y Ct UiS I 0
Owner's E-mail Address l,(�
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APPLICANT'
APPLICANT'S NAME
Last �� �, First
Applicant's Address
Applicant's E-mail Address
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P Telephone 3 7 4 �') -7-7 -7 7
ARCHITECT/DESIGNER'S NAME _
Last _dis �r`ii�-` _ First t� Lic. No.
Architect/Designees Address - -
( � - Architect/Designees E-mail Address
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City j Z,uw r�?], L�l'p,L�y State7(jAZi � r�),+��_�
/ P ! ' 7L j Telephone {. ( f777
ENGINEER'S NAME Last
ff
First i
Engineer's Address Lic.No.
Engineer's E-mail Address
_
City ��i; Vulz _1; State�- Telephone Zip l� �P d, �'� ""��
f(3i.-.y i 3 7
CONTRACTOR'S NAME/COMPANY
Nu - - Lic. No.
!4 J �VL Class � )I
Contractor's Address p
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Contractor's E-mail Address7OC ���
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State
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REAR SETBACKSRONT , , y
PERMIT NO, F 1 06 � -- 1 � 2j
LEFT SETBACKSGHT
PLAN CHECK NO.