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HomeMy WebLinkAboutF2022-0398 - Permit Application-- --Print Form--- Please print 3 copies Associated Building Permit # vvorKsneet Tor Lire vermit Application City of Newport Beach - Building Division X Z© —Z"7 __q ❑ Fire Sprinkler QZr Fire Alarm ❑ Fire Misc 1. Project Address (Not mailing address) Floor r Suite No Tenant Name 1 j.(� J� l f Units �f �Q e c_ S` 2. Description of Work F'( (76� � 70)6 ��nr'OVevser c Extg Sq Ft New/Added Sq Ft Total Sq Ft E ❑ New ❑ Add 'v�Alter 0 Demo Check Appropriate Box for Applicant/Notification Use Valuation $ # Stories Ul ❑ 3. Owner's Name Last First Owner's Address Owner's E-mail Address City State F77 Zip Telephoned ❑ 4. Architect/Designees Name Last First E7_7:1 Lic. No. Architect/Designers Address Architect/Designer's E-mail Address City State F� Zip [777771 Telephone ❑ 5. Engineer's Name Last ; First � Lic. No. F Engineers Address Engineer's E-mail Address City State L Zip F—______71/ Telephone[ Fj 6. Contractor's Name Last �� First [� Lic. No. 63 J Class Contractor's Address Contractor's E-mail T r 1 IAddress f I ciV �CI ct City State Zip 4 Telephone OFFICE USE ONLY PERMIT NO. f Zn&' ©-�� 68 TYPE OF CONSTRUCTION p PLAN CHECK NO. r 0072 — (C(IN OCCUPANCY - GROUP PLAN CHECK FEE $