HomeMy WebLinkAboutX2017-2700 - Permit Applicationbe
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Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
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Description of Work
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OWNER'S NAME
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Owners Address
Owner's E-mail Address
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APPLICANT'S NAME
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Applicant's Address
Applicants E-mail Address
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ARCHITECT/DESIGNER'S NAME Last!; Rl�L First DonnA Lic. No. I C 1 Z l
Architect/Designer's Address
Architect0esigners E-mail Address
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State I Zip F_ Telephone, j'_ 72-'J_ If70
ENGINEER'S NAME
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Engineers Address0
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CONTRACTOR'S NAME/COMPANY I�HCFxt MGSr, En��y Sy,N-er+/
Contractors Address
Contractors E-mail Address
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NO.
SETBACKS REAR
SETBACKS FRONT PERMIT
PLAN CHECK NO.
SETBACKS LEFT
SETBACKS RIGHT
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $