HomeMy WebLinkAboutS2021-0168 - Permit Application��p.WrURr
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WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION
CITY OF NEWPORT BEACH
OR TYPE //�� , A
BUILDING DIVISION 92.04— O l V t
DDRE$$ (NOT MAILING AonRGcc
BLOCK
TRACT
2. DESCRIPTION OF WORK FI Z yd (p w �6 /�S , / 1,^ rQQ�.,C
r For
ESTIMATED $ VALUATION $D�cco
SWIMMING POOL) SPA
POOL FENCING ❑ DRAINAGE-----------------
❑
Check Appropriate box for
5
k
Lacher-
17ol v.1"uvFiA Avg
CITY
A I ,
E.
:E USE ONLY
PERMIT NO.
., .
7
67656
'A'
PLAN CHECK NO. _ I ®� c n
POOL P/C FEE $
DRAINAGE P/C FEE $
Forms\Pool spa appl (rev3-04).xls