Loading...
HomeMy WebLinkAboutS2023-0163 - Permit Application(0 WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH C� PLEASE PRINT OR TYpE BUILDING DIVISION a w 2. DESCRIPTION OF WORK M c2 14J SWIMMING POOL SPA Check Appropriate box for Applicant TRACT ESTIMATED $ VALUATION POOL FENCING ja* DRAINAGE ❑ 1 C_L-1�C>I�-� V\,- f% CITY A u�� l e4 i. CONTRACTOR'S NAME C4n-!b B,� ADDRESS �S v Mlle .ITY ,S{T, :E USE ONL Y PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ DRAINAGE P/C FEE $ r ADDRESS ZIP _�/Z __z&(/0 U cfaSO7 JE NO. �?- 7s� 76,56 HONE NO. STATE LICENSE NCO! r-s6�cbc,cam 5ZcsL3 - o\ 63 P�Ze�3-I�t62 1 11V14C IVU. • ..narWl spa appl (rev304).xls 0ZR S - C)2ef Z2 - 0067