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X2019-0328 - Permit Application
y L, am'I ❑ Residential 0Vq z©t9 X�,0[9-o3R8 `rNorkshaet for Building Combo Perm€t AAppil afion City of Newport Baach - Building Division . NOTE PLAN CHECK FEE DUE AT TIME OF SUBMITTAL II IBuild'tng [I Grading [jDrainage ❑ Elec n Mach ❑ Plum Cu Yd cut= —J Cu Yd Fill . Prgje§cct Acidrass (Not mailing address) Floor — Suite No Description of Work Use Units (if Rasf--] Valuation $ New/Add SF== Remodel SF Q Garage/New/Add �� Material/La OWNER'S NAME Last First Owner's Address Owner's E -mall Address City StateZip I -Ij TetepMone� U P.PPLGCAlNT'S NAME I Last Appl�ica if s Address City State L C' ' Ft ml: Applicant's E-mail Address Zip -�i�= Telephone AP,CWTECTIDESiGNER'S NAME: Last First L� Llc. No. �__- Architect/Designer's Address Architect/Deslgnei's E-mail Address City N ���1 state GYM Zlp 2'!� lQ6 I TelephoneEff — ' — I ENGINEER'S NAME Last [ First Englnear's Address - Engineer's E -mall Address --1 l --_.----— — _ --� le J City State Zip Tehone p . — Llc. No. I0l°118%' Class= CONTRACTaR'S NABti'iEXQUIR iNY g ( J Contractor's Address Contractors E -mall Address 1 ` b2 Cownrl Dpr1DE2lA-^)C-,sTani City Z(zi/II�E- State CA I Zip _ Y_Ul Telephone+-(.�I-Olpif-2SQi0 NERGY P/C FEE $ FIRE P/C FEE $ PERMIT NO. 14 J7,3 2_b >RADING P/C FEE $ PLANNING P/C FEE $ PLAN CHECK NO. LEO/PLUM/IvIECH P/C FEE $ PLAN CHECK FEE $