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HomeMy WebLinkAboutX2021-1228 - Permit Application (2)KZ40\ - i 1�� Print Form Worksheet for Combo Building & Solar Permit Application F_ Comm1 F_ Residential City of Newport Beach - Building Division r NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL 00.N F_ Building Grading [—Drainage F_ Elec Mech Plum CuvdCut CuYdFill Project Address (Not mailing address) F Flood F_ Fire [_ Liq F_ Landslide [_N/A Floor Suite No F F_ Description of Work Use Const Type # Stories # Units (if Res)1— �/atertiial/Labor New/Add SF Remodel SF Garage/New/AddF OWNER'S NAME Last First Owner's Address Owner's E-mail Address City I State Zip [_ Telephonel� APPLICANT'S NAME Last First Applicant's Address Applicant's E-mail Address City ( State F Zip F Telephonel� ARCHITECT/DESIGNER'S NAME Last First Lic. No. Architect/Designer's Address Architect/Designer's E-mail Address City State Zip Telephone) ENGINEER'S NAME Last First F� Lic. No.1� Engineer's Address Engineer's E-mail Address City State Zip Telephoned CONTRACTOR'S NAME/COMPANY fS���Q� f Lic. No.V_2Y__7V Class Contractor's Address Contractor's E-mail Address :ity �u�n H `, State Zip 7©S Telephone 5-7 j ,,,�_ 'BACKS REAR SETBACKS FRONT PERMIT NO. 7j r� 6� SACKS LEFT SETBACKS RIGHT PLAN CHECK N ?ONE DEVELOPMENT NO PLAN CHECK FEES $