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HomeMy WebLinkAboutX2021-1079 - Permit Application� Y�5 !. 'j •,. Y.: .-nV2 a.td �v £ sw � N 1" ". Worksheet for Combo UIldift Solar Permit Aoiplibation f Comm'I r ResidentialCity m of Newport Beach Build' Di q1,,0 �1Z� `O Z1 NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Gu.o„h•” ,FBuilding,� 17Gr`a�ling �jDFainage [ Elec ©Meth, ,F]Plum cnrdcat�� ruvdFill l__ " Pmject Address(Not mailing addFess) 'F Flood rj Fire ❑ `Liq �] Landslide (JN/A Floor Suite No De scription`of'Work . Use ConstT e v�.ra,� u�-, .aw -I- /a Stories7l # Units.(If, Res) - New/Add SF Remodel.SF Garage/New/Add Valuation$ iMateriallLabnr 3> VJ +-OWNER•:$-NAMEy Last �?glt KcTbL' First' 6"OSS. jf �tH4i� Owne?s,Address Owners E-mail Address . City, i State ZIP Telephone 9y� 922^ �yv -APPL'ICANT-'S NAME Applwar is Address Applicant's E mad Address � drs.PJa.wTG ?4A 7W 06 .(J J City'L r !:3 StateL p Zip '9 Llrl:, A Telephone ARCHITECT/DESIGNER'SNAME Last First Lic. No. ArchiteggDasigner!s Address Architect/Designer's E-mail Address :City l� StateZip'_. Telephone i #NGINEER'S.NAMELast First W_ Lic. No. T, i Engineer's Address Engineer's E-mail Address City State Zip Telephone r CONTRACTOR'S NAME/COMPANY A r/ Gh StH.+ CvSsa!^ DM a Lic. No. !,! Class Contractor's Address Contract or's:E-mail Address F'Gil�s+ City A., js State (meq- j Zip 'LXo 6 CS Telephone SETBACKS REAR SETBACKS FRONT PERMIT NO. h: W z I - 1071' SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.,11.7 r{;- Z(71q USE ZONE DEVELOPMENT NO PLAN CHECK FEES $