HomeMy WebLinkAboutX2020-1123 - Permit Application (3),X2020 — t I23
Print Form Worksheet for Combo Building & Solar Permit Application
F_ Comm'I (-', Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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OWNER'S NAME Last
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Owner's Address
Ow ner's E-mail Address
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APPLICANT'S NAME L
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME Last.,
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Architect/Designer's Address
Architect/Designer's E-mail Address
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ENGINEER'S NAME Last
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Engineer's Address
Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY U �T ��
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Contractor's Address
E-mail Address
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SETBACKS REAR SETBACKS FRONT
PERMIT NO. XZP�ZC�
SETBACKS LEFT SETBACKS RIGHT
PLAN CHECK NO. 3' ZD 'L -C7
USE ZONE DEVELOPMENT NO
PLAN CHECK FEES $ i�.