HomeMy WebLinkAboutX2017-3477 - Permit ApplicationcS Qktjc N.�TWor h t for Combo Building & Solar Permit Applica
❑, Comm'Ij Residential City of Newport Beach - Building Division
J NOTE: PLARCHECK FEES DUE AT TIME OF SUBMITTAL
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APPLICANT'S NAME Last FirlstLN
Applicant's Address - Applicants E-mail Address
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ARCHITECT/DESIGNER'S NAME, Last First Lic; No.
Architect/Designers Address Architect/Designers E-mail Address
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ENGINEER'S NAME Last J Firsf.r— ' Lic, No.F-----
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F7777-
CONTRACTOR'S NAME/COMPANY �Ze_ Vn 1 r _ Lic. No. Class
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SETBACKS REAR SETBACKS FRONT PERMIT NO-
SETBACKS LEFT
O.SETBACKS`LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT No PLAN CHECK FEES $