HomeMy WebLinkAboutX2021-0793 - Permit ApplicationWorksheet for Combo Building & Solar Per i pplication
City of Newport Beach - Building Division
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State
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Zip
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Telephonel_________
CONTRAGTOR'SNAME/COMPANY WtkG.lc,J�w(N
_i LIc.No.,(p38156i Class
Contractor'S;Address
Contractor'sE-mail Address
19900 MAc ilrk
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SETBACKS REAR
SETBACKS FRONT`
, PERMIT NO.
'SETBACKS .LEFT
SETBACKS RIGHT
PLAN CHECK NO. '
USE ZONE
DEVELOPMENT NO
PLAN CHECK FEES $