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HomeMy WebLinkAboutX2020-0713 - Permit ApplicationPrmr Form ._ WORS-bget for Combo Building & Solar Permit Application o >a City of Newport Beach - Building Division ❑ ❑ i'op ` In Comm'I Residential X ��. ✓✓✓ »' NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL ❑Building ❑ Grading Dr nage ❑ Elec ❑ Mach ❑ Plum Cu Yd Cut Cu yd Fill Project Address (Not mailing address) ❑ Flood ❑ Fire ❑ Liq ❑ Landslide ❑N/A Floor Suite No -),©OS C 0 ccRn Frm \ t f\ of Work Use ConstType # Stories❑ # Units (if Res) New/Add SFRemodel SF�— Garage/New/Add OWNER'S NAME Last Owner's Address City J APPLICANT'S NAME Last First Owner's E-mail Address State F77 Zip Applicant's Address City _ _ State First Applicant's E-mail Address Zip F. Telephoned ARCHITECT/DESIGNER'S NAME Last _ First �,� J Lic. No. Architect/Designer's Address City State C— Architect/Designer's E-mail Address Zip L Telephone 1— ENGINEER'S NAME Last _ _ First E7� Lic. No. 1-7— Engineer's Address Engineer's E-mail Address City State F _ Zip -' Telephone CONTRACTOR'S NAME/COMPANY � 1 _ ' Lic. No. iw.13Co? Class Contractor's Address City, State FEW— /iU V (,SETBACKS FRONT SETBACKS RIGHT Contractor's E-mail Address &rJ Ef . 4yy% Zip o/�! Telephone PERMIT NO. X ot0,1'p — 0 7 1 CHECK NO. USE ZONE DEVELOPMENT NO CHECK FEES $