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Home My WebLink AboutX2019-1108 - Permit ApplicationPrint Form, Work hee {tJn'r Combo Building & Solar Permit Application X Zt( - 0 City of Newport Beach - Building Division r Comm'I r- Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL Building rGrading rDrainage j,Elec jlech (Plum cuvdcutr cuvdFlll� Project Address (Not mailing address) F Flood F_ Fire r Liq F_ Landslide F_N/A Floor Suite No Description of Work _ 7Use, Typec�its (if Res) Valuation New/Add SFF—Material a Remodel SF � Garage/New/Add Material/Labor V OWNER'S NAME Last F1 -i �y First Owner's Address Owner's E-mail Address City '� ? �'/� / State Zip C IT 7 TelephoneF71-1717T2—'o I G i r el APPLICANT'S NAME Last 1(� FirstI�(�`-izK Applicant's Address I Applicant's E-mail Address City �l �� State �� ZipTZ,TL'% 'Telelp�hone2- G-1 {�� - ?j ;-G ARCHITECT/DESIGNER'S NAME Last /�Prr p Firs/t 14 L_ Lic. No. E� P"'0.� Architect/Designer'sAddress Architect/Designer's E-mail Address city State c, zip "'C1 Telephone ENGINEER'S NAME Last First F Lic. No. Engineer's Address Engineer's E-mail Address City F ,. State Zip Telephone CONTRACTOR'S NAME/COMPANY Lic. No. 79070,, Class (3 Contractor's Address Contractor's E-mail Address dos© \ t�v,als CcNrca 7 a,� (d�caSCo[ort. City (t2.1 i ea L-' State C i^ ZiP -( 24 1 p Telephonec(c1?-67q.-�c 19' 0 SETBACKS REAR SETBACKS FRONT PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. USE ZONE DEVELOPMENT NO PLAN CHECK FEES $ j E/