HomeMy WebLinkAboutXR2023-1651 - Permit Application_Print Form.
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Comm'I r Residential mbo Building & Solar P City of Newport Beach - Permit Application
NOTE: PLAN CHECK Building Division
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OWNER'S NAME
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Suite No
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Garage/New/Add �� I Valuation Mate $
Last l�ND I
rial/Labor
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Owner's Address
City
APPLICANTS NAME
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Last
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City
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ARCHITECT/DESIGNER'S NAME
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ENGINEER'S NAME
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City
First I
Owner's E-mail Address
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Applicant's mail Address
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Architect/Designer's E- Llc. No.
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First ��-
Lic. No.F___
Engines -mail Address
State -
Zip I
CONTRACTOR'S NAME/CpMpANY S Telephone��-
Contractor's Address
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State
SETBACKS REAR
SETBACKS LEFT SETBACKS FRONT
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DEVELOPMENT NO
Lic No. SY/s�U Classr/�
Contractor's E-mail Address
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PERMIT NO. t�
PLAN CHECK NO. I n
PLAN CHECK FEES $ Ld qo L\