HomeMy WebLinkAboutX2021-0044 - Permit Application#MAIEl
Comm'I [�Residentlal�/ City of Newport Beach - Building C��ision �� Z� , O l�ch�
/� NOTE: PLAN CHECK FEES DUE AT TIME L<.oa.�
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First �I Lic: No. _ _J
Architect/Designer s E-mail Address
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ENGINEER'S NAME Last.
FLic. No.
•
Ehgineer's Address
Engine' ft &mail Address
City`77
State
Zip
Telephone
CONTRACTOR'S NAME/COMPANYLic.
No.
Class
IZN"CC2
Contractor's Address,
Contractor's E-mail Address
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City I\C(�l�J"7(T�f7f I State
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Zip �?j Telephone
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SETBACKS REAR
SETBACKS FRONT'
PERMIT NO. VO4
SETBACKS LEFT
SETBACKS RIGHT`'
PLAN CHECK N .
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $