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PC2022-1714 - Permit Application
-PC 202Z 1'71q l "? 3 5 --'Z�vv' &re CITY OF NEWPORT BEACH COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915 www.newportbeachca.gov 1 (949) 644-3200 INTAKE FORM DATE: NAME: y- C, 6 PHONE NUMBER: c2 v Y-d o_ evna EMAIL:,% ADDRESS: SP �. SCOPE OF WORK. PC# (IF APPLICABLE): HOURS: PLAN CHECKER: PLNG: CO❑ APP N/A ❑ �FC BLDG: CO❑ APK-N/A ❑ D , r- DEPARTMENTS: pW: CO ❑ AP C" N/A ❑ Q . u> %c ' EMP: CO ❑ AP ❑ N/A ❑ GRDG: CO ❑ AP ❑ N/A ❑ FIRE: CO❑ APE] N/A ❑ OTHER: