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--_--__.._ ._. _ Worksheet for Combo Building & Solar Permit Application
F Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME
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APPLICANT'S NAME Last 5qm
Applicant's Address
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ARCHITECT/DESIGNER'S NAME
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Architect/Designer's Address
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ENGINEER'S NAME Last
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First �— Lic. No. �—
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Lic No.F�
Engineer's Address
Engineer's E-mail Address
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State �® Zip F_ Telephoned
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO. 2() 3 7 1
SETBACKS LEFT SEL 2- 3 J l
SETBACKS RIGHT PLAN CHECK NO.
USE ZONE �—
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