HomeMy WebLinkAboutX2021-3132 - Permit ApplicationWVVlFKbllVUL YOU solar vermit Application
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F Comm" esidential 1 '3 2 City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
</_flullding Grading kFoDrainage F_ Elec F- Mech Plum Cu yd Cut Cu Yd Fill
Project Address (Not mailing address) F-, Flood F-, Fire F-, Lfq F_ Landslide F_N/A F oor Suite No
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Description of Work t V UseConstType
17 F
Ll n" C
# StoriesF— # Units (if Res)F—'
RemodelTF Garage/New/AcIdF__ Valuation $
New/Add SFF7 Material/Lalbor 1000
OWNER'S NAME Last Ex ET_ First
[ -, 7757 !f --
Owner's Address Owner's E-mail Address
. ...........
city State zip F_ TelephoneF77777
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APPLICANT'S NAME Last ?3C_r+ First
Applicant's Address Applicant's E-mail Address
9075'7Telephone
City State Zip
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City[-- State Zip Telephone�=
ENGINEER'S NAME Last First Lic. No.F_
Engineer's Address Engineer's E-mail Address
......... .--------
city I - - - State zip r TelephoneF
CONTRACTOR'S NAMEICOMPANYLic. No. 9S- Class
Contractor's Address Contractor's E-mail Address
City State zip s TelephoneF
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. ZXR�
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $