HomeMy WebLinkAboutX2021-1307 - Permit Application (2)Worksheet for Combo Building & Solar Perk plication
City of Newport Beach - Building Division
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Description
Description of Work
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OWNER'S NAME Las
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Owner's Address
i Owner's E-mail Address
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APPLICANT'S NAME,
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Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME
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Architect/Designers E-mail Address
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ENGINEER'S NAME Last
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Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
Lic. No. �— Class
Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT PERMIT NO.
TBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO.
ZONE
DEVELOPMENT NO PLAN CHECK FEES $
(, 6 26.23