HomeMy WebLinkAboutX2021-3166 - Permit Application.wrKsneet for Combo Building
F Comm'I r Residential City of N &Solar Pei
7,Buitding
ewport Beach - Building Division
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NOTE: PLAN CHOF SUB FEES DUE AT TIME g +
'rglect Address (I
X27
of Work
New/Add SFF
OWNER'S NAME
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Last
Suite No
Use , Const Type
t Stories # Units (if Res)
Garage/New/Add Valuation g
Material/Labor K.
Owner's Address -First
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27 wner's E-mail Address
City
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APPLICANT'S NAME
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ARCHITECT/DESIGNER'S NAME
Last
Architect/DesignersAddress �--L First�N
--- --- —^ �T Lic. No. M27
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Zip
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ENGINEER'S NAME
Last
-- -CI------- Firs It-
Engineer's Address \ Lic. No. SC�12
Engineer's E-mail Address
city
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CONTRACTOR'SNAME/COMPANy
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Contractors Address����L�
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Contractor's E
city
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SETBACKS REAR
SETBACKSLEFT SETBACKS FRONT
_ SETBACKS RIGHT
USE ZONE
DEVELOPMENT NO
mail Address
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Zip
�P Telephone
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PERMIT NO.
PLAN CHFri,
PLAN CHECK FEES $ _ —��