HomeMy WebLinkAboutX2021-1469 - Permit Applicationlar
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F Printom'I P4,ResidentiW01kSh2@tNOOECOmbO Bual City of Newport: PLAN CHECK ilding
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Description of Work
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Owner's Address
Owner's E-mail Address
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City jJ��/P®1Z-r�,5-f' State
Zip Telephonel-
APPLICANT'S NAME Last W417D
First
Applicant's Address
Applicant's E-mail Address
City �J�(, State l/,8.
Zip Telephone 71+ S'd3 I C7Z7"�7'
ARCHITECT/DESIGNER'S NAME Last First Lic.No.F�
Architect/Designer's Address
Architect/Designer's E-mail Address
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City IJ E5�1ii12-1-. )-(-I ELT State �
Zip 407, 1 Telephone � )¢
ENGINEER'S NAME Last I )Z, 1114
First- Lic. No.
Engineer's Address
Engineer's E-mail Address
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City Irk O U IZ-A 1411,V, i tate �j„[�
Zip Telephone
CONTRACTOR'S NAME/COMPANY �jQ%fib A-y
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Contractors Address
Contractor's E-mail Address
City State F
Zip F Telephone
SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. Q /it
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ 0AW°
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