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HomeMy WebLinkAboutF2021-0334 - Permit ApplicationPnnt Forr : ' Worksheet for Fire Permit Application *�CE?City of Newport Beach - Building Division2Please print 3 copies � m � — ©� � � f2p �I "�iJ�y' Associated Building Permit # X cXJ l //Fire Sprinkler F_ Fire Alarm F, Fire Misc 1. Project Address (Not mailing address) Floor Suite No "7M OK, F9 F, Tenant Name U'G� �� ... I '� �i _. _... # Units Ir ill Description of Work Use ����r+_(�%vq� rr2. 7 nr7 1 I, , I h ovo Hc-Aos�A 6.1) t� os rov IV�W Extg Sq Ft -- VI New/Added Sq Ft Total Sq Ft l70 Valuation $wl ^ 5c I New Add Iter Demo #FStories ArchitectlDesigner's E-mail Address City __. Check Appropriate Box for Applicant/Notification 3. Owner's Name Last First r— ---' Owner's Address Owner's E-mail Address City State Zip Telephoned' F 4. Architect/Designees Name Last First � Lic. No. F — _. Architect/Designer's Address ArchitectlDesigner's E-mail Address City __. State F Zip f — TelephoneF (- 5. Engineer's Name Last First F Lic. No. ---II Engineer's Address Engineer's E-mail Address City _._ _.. State F_ Zip F Telephone'.. 6. Contractor's Name LastjSy-Y)rnFirst 1 Uynas Lic. No. V<59936 Class Contractor's Address Contractor's E-mail Address WS1Roll _ howios r, �Go�cc�r� City LA_1AAW State C Zip �Q -: Telephone CJ -/� I_ o9 IS 1 V�V�(p/�`I OFFICE USE ONLY PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. OCCUPANCY- GROUP d r L�1 PLAN CHECK FEE $ M,