HomeMy WebLinkAboutX2017-2680 - Permit Application1 ° t Wohe t for Combo Building 8r Solar Permit Application ®rd,Comm'I Residential City of Newport Beach - Building DivisiontNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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OWNER'S NAME Last C—, 7— First Inti y� S �tLs
Owner's Address O�wnger's E-mail Address
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City State Zip 3.> Telephone
APPLICANT'S NAME Last ? First /LLLc myj __
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Applicant's Address Applicant's E-mail Address
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City40d 1 State Zip�,+�-1 Telephone 7�[f�
ARCHITECT/DESIGNER'S NAME Last First Lic. No.
Architect/Designer's Address Architect/Designer's E-mail Address
City State I Zip F Telephoned
ENGINEER'S NAME Last First 7 Lic. No.F--
Engineer's Address Engineer's E-mail Address
City State F_ Zip F_ TelephoneF—
CONTRACTOR'S NAME/COMPANY�t („ ,1,`�j i �s L��J Lic. No. Class��
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SETBACKS REAR SETBACKS FRONT PERMIT NO.-�
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $