HomeMy WebLinkAboutX2016-3653 - Permit ApplicationPrint Form' W ks�e t for Combo Building & Solar Permit Application
Comm'I ❑ Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) ❑ Flood ❑ Fir iq ❑ Landslide [-]N/A Floor Suite No
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Description of Work Use ConstType
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Valuation $ A
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Applicant's Address Applicant's E-mail Address
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Architect/Designers Address
Arch itect/Desig nets E-mail Address
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ENGINEER'S NAME Last /�L(,eui First Lic. No.�
Engineer's Address _ Engineers '-E-mail lAAddress
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CONTRACTOR'S NAME/COMPANY 1 I� 1���,,I� /r- t I Lic. No. Class
Contractors Address t5 Contractor's =lE-mail Address
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SETBACKS REAR
SETBACKS
SETBACKS FRONT
SETBACKS RIGHT
PERMIT NO. X___,-z6 `0
PLAN CHECK NO. n 13.
USE ZONE ® l/ \, / DEVELOPMENT NO PLAN CHECK FEES$ _'t-;;