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HomeMy WebLinkAboutS2022-0152 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION ,;:', CITY OF NEWPORT BEACH 52� 22 -�«Z M - BUILDING DIVISION of GecG PRINT OR TYPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) LEGAL DESCRIPTION 'yL 6 - 1.2 — L/ LOT BLOCK TRACT 2. DESCRIPTION OF WORK SWIMMING POOL P SPA ID f`hnrlr Annrnnrinfa hnx fnr Annlir-ant ESTIMATED $ VALUATION �S, 000 54 POOL FENCING ❑ DRAINAGE 0M, `S 3. OWNER'S NAME LAST FIRST ADDRESS OWNER'S E-MAIL ADDRESS CITY STATE ZIP /LICE/'e�2� lidG 6�7 . Gil&o PHONE NO. (9%/1 '?6/—yV93 4. ENGINEER'S NAME LAST FIRST LICENSE NO. ADDRESS ENGINEER'S E-MAIL ADDRESS %Z c / .�� /�,,; v� /rIle 6,a CITY STATE ZIP PHONE NO. 5. CONTRACTOR'S NAME //J I BUSINESS LICENSE STATE LICENSE '6' s� S C /� �o�dr`c' ( No. Class ADDR SS7 CONTRACTOR'S E-MAIL `/ / y�/111 /% / y ✓ ©�, J �'J6�,2 i h �4' ' y G ��PIC. /ADDRESS // s 7 `40 -111 T -' /'I d /�/"�), [ Y;,erY 1 CITY STATE ZIP NO. rHON[E OFFICE USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ ( 30 DRAINAGE P/C FEE $ Forms\Pool spa appl (rev3-04).xls