HomeMy WebLinkAboutX2021-1101 - Permit ApplicationPint Form Worksheet for Combo Building &Solar Permit ;,�s�sncation Do,
City of Newport Beach - Building Division
r Comm'I Residential NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME Last �� !e ``
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Architect/Designers E-mail Address
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ENGINEER'S NAME Last(y
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CONTRACTOR'S NAME/COMPANY
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Contractor's Address
Contractor's E-mail Address
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SETBACKS FRONT
SETBACKS RIGHT
77--
PERMIT NO.
PLAN CHECK N0. 1
DEVELOPMENT NO
PLAN CHECK FEES $
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