HomeMy WebLinkAboutX2017-3601 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application (FISRKR-�,Comm'I �! Residential City of Newport Beach - Building Division NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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APPLICANT'S Last
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ARCHITECT/DESIGNER'S NAME
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ArchitectlDesignels Address
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Architect/Designers E-mail Address
City
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ENGINEER'S NAME r JA Last'
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Engineer's Address
Engineer's E-mail Address
City
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CONTRACTOR'S NAME/COMPANY
Lic. No. Class
Contractor's Address �/� F o w 1 Contractor's E-mail Address
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SETBACKS REAR
SETBACKS FRONT Iy / PERMIT NO. ��l
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SETBACKS RIGHT ,� ' PLAN CHECK NO. � `'� yZ0
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $