HomeMy WebLinkAboutS2021-0289 - Permit ApplicationO`NBWY{Q �.
^ WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
PLEASE PRINT OR TYPE BUILDING DIVISION
1. PROJECT ADDRESS (Nor Mau IrJr. or,�o��,,,
LOT
IUN OF WORK
SWIMMING POOL
NOR
/;p
CITY
4. ENGIP
elfl/
-ICE USE ONLY
PERMIT NO.
PLAN CHECK NO.
POOL P/C FEE $
DRAINAGE P/C FEE $
Formslpool spa appl (rev3_04).xls
box for
BLOCK
------------
ESTIMATED $ VALUATION 3 cGp
SPA Rr POOL FENCING ❑
DRAINAGE
J19-
3USINESS LICENSE STATE� G3 _E
LICE
�i3r/a7871$ lC?6771;
P,10 vl
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