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HomeMy WebLinkAboutF2022-0180 - Permit Application• 'IC r•11rtnl[ Application City of Newport Beach - Building Division �f1l�fl Please print 3 copies ' � � _ l Associated Building Permit # i )d Zt — i� Q� ire Sprinkler ❑ Fire Alarm C Fire Misc 1. Project Address (Not mailing address) [ y 0 i (��©� t3� 7© _ Floor P�lr �sr Tenant Name ��+ rFe2 1[G� #Units 2. Description of Work +3 I Extg Sq Ft New/Added Sq Ft E7 -- Total Sq Ft [] New [j Add [�Iter [ Demo Check Appropriate Box for Applicant/NotificationInformation t [ 3. Owner's Name Last First Owner's Address Suite No Used Y L Valuation $ ,5' 06 # Stories I I C(J1l L_�J Owner's E-mail Address City ��State � Telephone�p I [[ 4. Archite esigner' Name Last C g V Z ! — First j-_ �+ i t Lic. No. 517 Architect/Designer's Address / 1- Archititect/Designer's E-maililAddress 1075 Z L—<i✓7�% eT[V I / Ci11�i�[`�Z\ LOAN ®c City T yk State ��y�, Zip t Tele hone 7/ p 9� [715. Engineer's Name Last First —71 Engineer's Address F777Lic. No. Engineer's E-mail Address —J City State J Zip Telephoned [6. Contractor's Name Last l T First L i c. No. 3j' 77 & Class _ /(p Contractor's Address 17777 Contractor's E-mail Address a(� C.as,COF,19 r11, City r � State Zip QZ Telephone '1)`f cf �lQ OFFICE USE ONLY TYPE OF CONSTRUCTION OCCUPANCY- GROUP PERMIT NO. FTzlL PLAN CHECK NO. / PLAN CHECK FEE $