HomeMy WebLinkAboutX2021-0574 - Permit ApplicationWorksheet for Combo Building & Solar Permit Application ��10k
Comm'I Residehtial City of Newport Beach - Building Division x`Lo4 �� tw'q
NOTE: PLAN CHECK FEES.DUE AT TIME OF SUBMITTAL 5
LAST
City I Stated Zip Telephone
CONTRACTOR'S NAME/COMPANY �l `� Lic. No. / Uaa/�J Class I
Contractoi"sAddtess Contractor's`E-mail Address
138ov
City C L9-L1�3Lw is State C�j/} Zip )&) L/ j Telephone 3(O`-',
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $