HomeMy WebLinkAboutX2021-1018 - Permit Application�E ,�a , WORKSHEET FOR POOL COMBINATION PERMIT APPLICATION c,
F� CITY OF NEWPORT BEACH X2OZ�-IOI 0
o BUILDING DIVISION
PLEASE PRINT OR TYPE
1. PROJECT Y _ ADDR
(N T MAILING A�{D S� 4 � �\, /
LEGAL DESCRIPTION LvG ` y�V(1—Lr V TRACT
BLOCK
LOT
2. DESCRIPTION OF WORK
SWIMMING POOL ❑
Check Ap rORr ai
E USE vrvL.
PERMIT NO.
\N CHECK NO.
FEE $
001 spa appl (rev3-04).xls
I ESTIMATED $ VALUATION
SPA ❑ POOL FENCING ❑
2 "?,DSI -