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X2020-2722 - Permit Application (2)
n7 r Residentielku °muO Building & Sol I r8uilding r �i722City of Newport Beach - Building ar Permit NOTE: P ApCi bn Grading LAN CHECK FEES g Division pi 6 NEW, I -Drainage (- Elec DUE AT TIME �� o` Project Addressr Mech OF SUBMITTAL lll��� F (Not ►nailin r plum V5<;,op, ©,, c 8 address cu Yd cut p+ I/� ) (� Flood Cu Yd Fill �'� �CJv� l v �, I- Fire r Li Descri q r Landslide 1 N/A ption of Work Floor Quh �N r �� 1 , 11, I Suite � QdU G✓,��j I (/ IC'v' oc�c(y`` _✓GT C` I ca Const Type New/Add SF� �y �� Remodel SF� # Stories # Units (if Res) OWNER'S NAME Garage/New/Add F____ Valuation Valuation $ Owner' Last � �G� Material/Labor l Sd Owner's �L doo,� ['per First OCA City Uet�� Owner's E-mail Address �c4 State APPLICANT'S NAME E Zip Applicant's Last bH���S Telephone���_ Address First I C� City °L APplicancsE-mailAddre / Ia'va--� ARCHITE State CT/DESIGNER'S IyA Zip Architect/Desi Last Telephone ct� . 9ner'sAddress T' Qz9 - 7S�y Firs Telephone Liew �c4 lec� j LG(a-ZS Architect/Designer's E-mailic. No. �o-`�`mail Address State ��"-" U �Ou fif ENGINEER'S NAME ME �jZ( LastTelePhone�r/{— Engineer's Address CS ✓Ce �� 3 ���� t 9 cl First__ City ( CO y ��. / S� Engineer's E-mail Lic. No. Grjc✓� G ((Sa Address ~� State CO'"'PWTO Zip c72b R'S NAME/COIHpgNY y Tetephoner�_ Contractor' y `� %3 P i Contractor's SpuTy ro J E o 721n�cTovZS Lic. No. 9881_7_5- t7t 4 �i Contractor's E- Cl h mail Address Cof��6 State C��' �v�_�c 'BACKS REAR Zlp 9Z' �� Tele u��U7 phone C0 SACKS LEFT SETBACKS FRONT S ZONE SETBACKS RIGHTS PERMIT NO. DEVELOPMENT NO � PLAN CHEC K NO, PLAN CHECK FEES $ —�