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HomeMy WebLinkAboutX2021-0621 - Permit Applicationj Wdrk6heeffor;Co m -bo Building & Solar Perrhit -asiclential City of New Beach - Building Division -1 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMI 46 - b c I I -J Grading r7DraInage r- — — &� j Elec Fj Mech F7, plum Yd CutF_ Cu Yd Fill F_ Address (Not mailing address) F j Flood C Fire j/_j LIq F_ Landslide FjN/A Floor Suite No 4po LAA Description of ork Pu - O (2) 4W - I Use Fw� Const Type # Stories Z___# Units (if Res)[7 New/Add SFRemodel SF Valuation $ Garage/New/Add[ Material/Labor OWNER'S NAME Last S�7 5 -- Owner's Address — - - - - - Owner's E-mail Address VY City State (!2d Zi P 2TeleDhoneF �12 APPLICANTS NAME Last First I Applicant's Address Applicant's E-mail Address State Zip F city Telephone ARCHITECT/DESIGNERS NAME Last F� First Lic. No. F Architect/Designers Address Architect/Designer's E-mail Address City F State f Zip [77777 TelephoneF—______ Lic. No. ENGINEERS NAME Last Firs Engineer's Address ;a Engineer's E-mail Address (21, 36%-, C) City State F77 Zip Telephone[ CONTRACTORS NAME/COMPANY F�e Lic. No. — Class 7VVlo 3�f Contractor's Address Li Contractors E-mail Address _7i -7 4�? /j/ C.) City 2s4 - State Zip 9 Telephone ,4- SETBACKS REAR �'�SETBACKS FRONT 7PERMIT NO. U + SETBACKS RIGHT - SETBACKSY14 0 P PLAN CHECK .