HomeMy WebLinkAboutX2022-0712 - Permit Application/N N _. — W f 1 L
Print'Form
Comm'I . Residential
-'Building r Grading
Address
for Combo Building $ Solar Permit A I plication L-2 NE� r
p
City of Newport B p
NOTE:
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PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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OWNER'S NAME
Last
Owner's Address
First
Owner's E-mail Address
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# Stories # Units (if
Valuation $
Material/Labor ab�
Suite Nc
City
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APPLICANT'S NAME / G phone
Last- -
First
Applicant's Address /` ` - -- -
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Applicant's E-mail Address
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Zip
ZipeI , 1 Telepho;nARCHITECT/DESIGNERS NAME
Last
Architect/Designer's Address First Lic. No.
Architect/Designer's E-mail Address) _
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City State
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ENGINEER'S NAME ------ --
Last First
Engineer's Address _ _ ` Lic. No.F----7
Engineer's E-mail Address 3I a' 19.3 $
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Contractor's Address _ /2
/ Contractor's E-mail Address
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State
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SETBACKS REAR _ SETBACKS FRONT
SETBACKS LEFT PERMIT NO.
— SETBACKS RIGHT
USE ZONE PLAN CHECK NO.
DEVELOPMENT NO
PLAN CHECK FEES $