HomeMy WebLinkAboutX2020-1727 - Permit Application-arm Worksheet for Combo Building & Solar Permit Application
1-7. Residential City of Newport Beach - Building Division
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NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL a..
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toject Address (Not mailing address' Flood Fire F7'
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Floor Suite No
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Description of Work
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G�XT. G�!!�S SG '_�,� ,��jl�a(/i��ls�� i #Stories # Units (if Res)
New/Add SF -"- Remodel SF F Z3/.
- Valuation $Garage/New/Addsd Material/Labor
OWNER'S NAME -"� .-_- ----- - -
Last
First
Owner's Address --
Owner's E-mail Address
City I - --
State _
Zip Telephone
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NAME
Last First
res�.,� - _ < Applicant's E-mail Address
CONTRACTOR'S NAME/COMPANY
Lic. No. ijj,)626 , Class
Contractor's Address - -
Contractor's E-mail Address
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City
State
r Zip Telephone
SETBACKS REAR SETBACKS FRONT PEF ` I ( i
SETBACKS LEFT SETBACKS RIGHT
USE ZONE PLAN CHECK NO.
DEVELOPMENT NO PLAN CHECK FEES $