HomeMy WebLinkAboutF2019-0494 - Permit ApplicationPrint Form
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Associated Building Permit #
Worksheet for Fire Permit Application
City of Newport Beach - Building Division
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1. Project Address (Not mailing address) Floor Suite No
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Tenant Name # Units — --
Owner's Address
2. Description of Work
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Extg Sq Ft New/Added Sq Ft Z/3 1 I Total Sq Ft
Valuation $
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# Stories F 3
Check Appropriate Box for Applicant/Notification
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F_ 3. Owner's Name Last
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First
Owner's Address
Owner's E-mail Address
City
State
Zip Telephone
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Last
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Architect/Designer's Address
Architect/Designer's E-mail Address
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F 5. Engineer's Name Last
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Engineer's Address
Engineer's E-mail Address
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State
Zip �— Telephone
6. Contractor's Name Last
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Contractor's Address
Contractor's E-mail Address
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OFFICE USE ONLY
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TYPE OF CONSTRUCTION
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PLAN CHECK NO.
OCCUPANCY- GROUP
PLAN CHECK FEE $
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