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HomeMy WebLinkAboutX2021-3038 - Permit Applicationl- Com l w%� K eet for Combo BUildin Residential i(z a 36 38 City of Newport Bean - Building Di Permit Appl1Cation eEW� NOTE: PLAN CHECK FEES DUE ATITIME OF inion g _.,Building r Grading o [Drainage (-Elec SUBMITTAL Project Address -Meeh j� Plum (Not Mailing Cu rd eats g address) [Flood CU Yd rm Fire Liq r Landslide I-N/q u Lw1n eYtpr r Floor Suite No Description of �UYdh I �— Work _ fll _�"{ y N 2 Use _ Const Type -- -- - �.New/qdd SFf---- # Storiess - - #Units (if Res) Remodel SFs��— Garage/New/Add �� Valuation g OWNER'S NAME Material/Labor Last �.{ ��YY1ZY - Owner's Address Y� First 51:_t.-14ai1� ---_--1A U� qOwners E-mail Address - City Ow17Y q� May State - eeY�PY�p ��C��iil°_CGLNI APPLICANTS zip ^ _ NAME -1� Last Telephone Applicant's Address V_CQ Firsr t C -- ,--s City ARCHITECT/DESIGNE R,S NAME NAME Address Applicant's E-mail Address State -S ZIP 4 Last Telephone 7� I First qq Lic. No. Architect/Designer's E-mail Address i1ar State Zip r1 ---- - V -- -.. _ _ Tele hone Last First Lic. No.� Engineer's E-mail Address �--__ State- Zrp Telephoned-- 'COMPANY q� ei,.-1„1—( Lic. No. 7732 !-C7 ;class Contractor's E-mail Address 1A [0 [0 - =-- State��' 1rG5o zip Telephone���� �FTBACKS FRONT (� YZvZ/ 076T SETBACKS RIGHT PERMIT N0. DEVELOPMENT NO PLAN CHECK No. a PLAN CHECK FEES $