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HomeMy WebLinkAboutX2018-3853 - Permit ApplicationWorksheet for Combo Buildig & Solar Permit Application r Comm'] r Residential City of Newport Bea -Building Division NOTE: PLAN CHECK FEES D E AT TIME OF SUBMITTAL Building Grading JVDrainage kElec Mech k lum CuvdCut ', Cu Yd Fill Projekt Address (loot mailing address) F_ Flood F_ Fire\ F_ Liq r Landslide Floor Suite No I�)- Ji� Description of Work Use FR4 I Const Type # Stories # Units (if Res)✓, wVV C1� Valuation Material/Labor 4� New/Add SF I Remodel SF �u� Garage/New/Ad OWNER'S NAME Last ©e _D U_r(4 Owner's E-mailAddress Ownner'ssAddress rJ I /r'l A L f—[CIO-� A 12 -�_ Cityo __J State AIZipF UTelephone ....!/� APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address Tele i City State Zip —�hone p ARCHITECT/DESIGNER'S NAME La _ - - - First �I Lic. No. ?j -$8 Architect/Designers Address Architect/Designer's E-mail Address /gyp��� .17�Y_�•_W/�•1I-„.__-__._ City�OPA. -_ _... -_ _. _-.j StaterW Zip _ Telephone�Sb•ti;vf'�� ENGINEER'S NAME Last C� I �I FirstTAM ', Lic. No.� 1 Engineer's Address Engineer's E-mail Address City ._.INrUv_------_. ----I StateI......_I Zipl -l�%� ! Telephone CONTRACTOR'S NAME/COMPANY 2NiCi t 1 _.. eS T'.� Lic. No. Class �/ Contractor's Address Contractor's E-mail Address � j g c a �� �s City J State Zip �2�p/y� Telephone --- - - - f —--- -/ QQ SETBACKS REAR S SETBACKS FRONT /� PERMIT NO. A t W ( Q i V” PLAN CHECK NO. 2�'''� .10I t SETBACKS LEFT 3_ SETBACKS RIGHT�/�,, Q USE ZONE �� DEVELOPMENT NO � W($, �G p PLAN CHECK FEES $