HomeMy WebLinkAboutX2022-0919 - Permit ApplicationI Worksheet for Combo Building & Solar Permsion �%1/itt A plication
(— Comm'I �i�City of Newport, Residential NOTE: PLAN HECK FES DUE each -AT IME OF uilding iSUBMITTA 01 I&J
' uilding r; Grading rDrainage rElec r; Mech
(-, Plum Cu Yd Cut-
Cu Yd Fin
Project Address (Not ailing address) r Flood
(Not
r Fire r Liq rl Landslide
rN/A Floor
Suite No
jmj
Description of Work
( Ic,
New/Add SFF—;
OWNER'S NAME
Owner's Address
Remodel SFF—, Garage/New/Add
Last
First
Use F Const Type
# StoriesF # Units (if Res)
F_ I Valuation �7 /r00 O
Material/Caa bo
Owner's E-mail Address
City �� State —
Zip �2le(e� Telephone FLM -723-1606
APPLICANT'S NAME Last
Applicant's Address
33 N,Pwh l S�
—
..........
City Cosi- I/yj e ,- State F
First l 157¢ lvva
Applicant's E-mail Address
Zip
..g/L&'L j Telephone qqF- -5?-6 3/G L
ARCHITECT/DESIGNER'S NAME Last FirstLic. No.
F
Architect0esigner's Address
City State F
Architect/Designer's E-mail Address
Zip _ — Telephoned
ENGINEER'S NAME Last First, Lic. No.w
Engineer's Address
City State
Engineer's E-mail Address
Zip Telephoned
CONTRACTOR'S NAME/COMPANY %S� � pp -/�� / Lic No. D 2el2ei Class It 31
cvI r� ss'
YJrc0A �"- �_P4 5((�.
Contractor's Address
City EZ4AZ, State
SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
SETBACKS RIGHT
Contractor's E-mail Address
Zip F)—W-7 Telephone `�6Yj"���^x;133
PERMIT NO,
PLAN CHECK NO. U VDI .
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $