HomeMy WebLinkAboutX2016-0022 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application 99,11
`r Comm'I Residential City of Newport Beach - Building Divisionr � NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITo
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Description of Work
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OWNER'S NAME(
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last ��.�% First vlo Lic. No. 777 l)e
Architect/Designer's Address /
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
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Engineers Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY �Grez5t
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Contractor's Address
Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK!FEES
USE ZONE DEVELOPMENT NO
PLAN CHECK $ '"lllJ
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