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HomeMy WebLinkAboutX2021-0408 - Permit Application (2)I ' . Work6beet for'Combo-Building 8r: Solar Permit Application �ld City of Newport Beach - Building Division ential x2ii20' Oqu� NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL oa �I ;Grading (,Drainage r Elec r Nlech Plum Cu Cut Cu Yd Fm ��['' Address (Not mailing address) Flood �; Fire F Liq ❑ Landslide r7N/A Floor Suite No a I A CA escription of Work Use ��j Const Type �_ L oLkklO)� Px� lS�It� � � 'f'• i Git�.t.� 1141.1.- _U #Stories #Units (if Res) Valuation Material/Labory -� � New/Add SF1_ 14 -A - Remodel SF �f � Garage/New/Add �� OWNER'S NAME Last MvwAs First L<<aA Owner's Address Owner's E-mail Address -�-----�atiL-, ---- LtMR,L-��ov City lre;State -- Zip[ ��J Telephone +_GWMB??76 APPLICANT'S NAME LastV�� I„I I� First uGj - Applicant's Address Applicant's E-mail Address -- -- 1t51Li6et�u�."o� City ��% State Zip - Ej 6% Telephone j 14 g j a 8�(� ARCHITECT/DESIGNER'S NAME Last �\ ����4------- 'First Lic. No. F_ Architect/Designees Address Architect/Designer's E-mail Address J �ll�( �l.t)�-GiJGU?. -- -- __ -- _-_ � a�i;Sl�l ��I (. •GDl`�.-- -- - - City MIy�1tN4 V( () - State � Zip � �F Telephone_gg1 tku,-1b ENGINEER'S NAME Last A jM First . `W p Lic. No `i -1 Engineer's Address Engineer's E-mail Address I_tlZ ALAM_AtJwAK ° kt�{IL L°M--- -- - City '�V State Zip Fq Z(j' cl Telephone CONTRACTOR'S NAME/COMPANY Lic. No. �- Class Contractor's Address Contractor's E-mail Address City �— State F777Ztp �— Telephoner SETBACKS REAR. ®� SETBACKS FRONT S PERMIT NO. SETBACKSLEFT SETBACKS RIGHT Z PLAN CHECK NO. 9 ` USE ZONE DEVELOPMENT NO PLAN CHECK FEES