HomeMy WebLinkAboutX2021-2217 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
F Comm'I Residential City of Newport Beach - Building Divisi
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME I / I [----- -
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Owner's Address -- - -
t Owner's E-mail Address
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APPLICANT'S NAME
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First
Applicant's Address
- Applicant's E-mail Address
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ARCHITECT/ IGNE ' NAME � / `(�
Last —I First
Architect/Designer's Address -Uj_I 1,
Architect/Designer's E-mail Address
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Lic. No.
ENGINEER'S NAME Last 9 �
_ _�, _ First ' - Lic. No.
Engineer's Address � _
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY �(/J
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Lic. No. �SgaCContractor's Addressess
City
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SETBACKS REAR SETBACKS FRONT
PERMIT NO.,
SETBACKS LEFT SETBACKS RIGHT
t _ PLAN CHECK NO.
USEZONE -_DEVELOPMENTf
— _ p � � LAN CHECK FEESt �