HomeMy WebLinkAboutX2020-0404 - Permit ApplicationPrint Form qrk et for Combo Building & Solar Permit Application
r Comm'I F-I Residenti City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 0010 - 04OU
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Description of Work
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OWNER'S NAME Last I D/` !_f_-
First
Owner's Address
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Owner's E-mail Address
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APPLICANT'S NAME �t�. � //' '
Last First
Applicant's Address
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Applicant's E-mail Address
City Cj � State
Zip �8.2 Telephone GL-7
ARCHITECT/DESIGNER'S NAME Last -/;C,, �� �y i��'(�r I��i First Lic. No.G�IJ(J'
Architect/Designer's Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
- First 7 Lic. No.0_771
Engineer's Address
Engineer's E-mail Address
City - State
Zip F__ Telephone1 7]
CONTRACTOR'S NAME/COMPANY Lic. No 6/3� ZJ Class
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Contractor's Address
E-mail Address
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City l State
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO
USEZONE DEVELOPMENT NO�/l;^DI<N
CHECK FEES $