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HomeMy WebLinkAboutF2023-0135 - Permit ApplicationPlease print 3 copies Associated Building Permit# Worksheet for Fire Permit Application City of Newport Beach - Building Division F Fire Sprinkler Fi Fire Alarm ! Fire Misc 1. Project Address (Not mailing address) Tenant Name 2. Description of Work 1.Yt'S4fi�1,��1 Cx� O� � ��� ✓ •,5'�"� VYl - _ . _ _� .. Extg Sq Ft - - -- New/Added Sq Ft Total Sq Ft— New [Add Alter ' Demo v jwo nPN' uPl ldLc mvA lur /APPIIGanUriOr.IT]cation 91� Floor Suite No - F_7 [—I # Units F e Valuation'$ # Stories �I 3.Owner's Name Last First— Owner's Address Owner's E-mail Address - City State-- Zip �— Telephone (- 4. Architect/Designer's Name Last First �— Lic. No. Architect/Designer's Address Architect/Designees E-mail Address City - - _ State Zip F— Telephone r 5. Engineer's Name Last First Lic. No. Engineer's Address Engineer's E-mail Address City State �— Zip—; Telephone— F�Contractor's Name Last A��(/ First LicNo. IG. . �b7�1(� Class - � _ / Contractor's Address Contractor's E-mail Address 1532H�aC,r-fief Or' ------ City --.- ,4-ate . - __--- -! State 55� Zip q.'43Telephoner y�,/ c7jLo L©p`Afboti OFFICE USE ONLY PERMIT NO. F 3 - U (3 S TYPE OF CONSTRUCTION _ PLAN CHECK NO. GZ&Zi — (-) 6. OCCUPANCY - GROUP FUZZ ZZ _C) ? PLAN CHECK FEE $