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HomeMy WebLinkAboutX2021-1370 - Permit ApplicationWorksheet for Combo Building & Solar Permit ApplicationX � Comm'I �I Residential City of NewportBeach - Building Division; NOTE: PLAN. CHECK FEES DUE AT TIME OF SUBMITTAL RBuilding ❑Grading]Drainage r]Elec [-fMech r—Plum cu ydcutn cuvdFill 171 Plcoject Address "(Not mailing address)" Flood Fire ❑ Liq' �l Landslide ❑NSA Floor Suite No I ZZ l Avc. F Description of Work Use n Const -Type, l`�en # Stories Units (if Res) — � 7,O O i `( E's'NAME. Last; First[.: Lic.No Engineer's Address - EngineersE-mail Address State ZipJ Telephoned City�— CONTRACTOR'VNAMEICOMPANY No. fd©1B3 Sa,tka.0 ,Lit Contractor's Address Contractor'sE-mail Address City State Zip Telephoned F SETBACKS REAR SETBACKS FRONT' PERMIT NO. SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. 1 70 Q7 ^ USE ZONE DEVELOPMENT NO 'PLAN.CHECK FEES $ � 7,O O i `(