HomeMy WebLinkAboutX2019-0756 - Permit Application (2)//L �Pnnl�,o,�mn Worksheetfor Combo Building & Solar Perm ApplicaioResidentiay�/ City of Newport Beach -Building Division
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Description of Work.
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Valuation $
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Owner's Address Owner's E-mail Address
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APPLICANT'S NAME Last ` First
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ARCHITECT/DESIGNER''S NIAME Last First I - _----, Lic. No.
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Architect/Designees Address ArchitecUDesigner's E -ma' Address
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ENGINEER'S NAME Last L t First FLic. No.
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CONTRACTOR'S NAME/COMPANY Lic. No. F — Class
Contractor's Address Contractor's E-mail Address
State �— Zip Telephone
SET K� � SETBACKS FRONT PERMIT N0.
SETBA ' SETBACKS RIGHT PLAN CHECK NO. 4
USE ZONE O
DEVELOPMENT NO � PLAN CHECK FEES $