HomeMy WebLinkAboutX2020-2816 - Permit Applicationerint Form Worksheet for compo timain a avrar rGnrua nNN. wc�a..... 011
�esidential City of Newport Beach
- Building Division L41-
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Project Address (Not mailing address) ' a r N/A�
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Description
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# Stories' # Units (if Res)F,
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New/Add SF
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Rem50e SF �' Gara e/ ew/Add �Material/Labor /
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OWNER'S NAME
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Owner's Address
Owner's E-mail Address
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State Zip
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APPLICANT'S NAME
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Ap licant's Address
Applicant's E-mail Address
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te Zip StaTelephone
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ARCHITECT/DESIGNER'S NAME Last First/ Lic. No. F—
ArchitectlDesigner Address
Architect/Desig er's E-mail Address
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City � �Q
State Zip
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ENGINEER'S NAME
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' First 'y Lic. No.
Engineer's Address
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En ' eer's -mai Address
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City (�
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State - Zip Telephone 1 J _?400
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CONTRACTOR'S NAME/COMPANY Lic. No. �— Class
Contractor's Address
v Contractor's E-mail Address
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State F_— Zip F— Telephone_
SETBACKS REAR
SETBACKS FRONT PERMIT N0.
-2010
SETBACKS LEFT
SETBACKS RIGHT PLAN CHECK NO. %Z2 q
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $
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