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HomeMy WebLinkAboutF2020-0267 - Permit ApplicationPlease print 3 copies Associated Building Permit # Worksheet for Fire Permit Application OF City of Newport Beach - Building Division IFUZO • 0247 [7 Fire Sprinkler )—i Fire Alarm r; Fire Misc 1. Project Address (Not mailing address) Floor Suite No o s - F Tenant Name #Units 2. Description of Work Use---�j -� Valuation $�� Sq Ft �� New/Added Sq Ft Total Sq Ft r � `Extg New [; Add F,, Alter F Demo # Stories Check Appropriate Box for Applicant/Notification ❑3.Owner's Name Last �LfS�1,� �(� I First, Owner's Address Owner's E-mail Address / fh2lS C'v Jf_77- City eos % � -/7 1State � Zip /7r �f� Telephone �' F 4. Architect/Designer's Name Last / C' I First[� Lic No. --- I _.- Architect/Designer's Address Architect/Designer's E-mail Address City State Zip ��-�-� Telephoned [! 5. Engineer's Name Last First Lic. No. Engineer's Address Engineer's E-mail Address City State Zip Tele hone( ri6.Contractor'sName Last 1*XV, Lic. No.�`���6 j Class[' Contractor's Address Contractor's E-mail Address City State Zip G�ZG Telephone[279 ©Si79Il��,�C"�1 J OFFICE, USE ONLY �19 tcERMIT NO. TYPE OF CONSTRUCTION + PLAN CHECK NO. OCCUPANCY - GROUP PLAN CHECK FEE $ 2� G