HomeMy WebLinkAboutPV2023-0022 - Permit ApplicationPrint Fom-----�rshet for -Combo BuilUn&Sot Pr�t A�flcaonL RT
y Newport each - Building Division
F- Comm'I F- Residential City of NBf
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
C�/FOR�'r
Building [— Grading Drainage Elec r Mech Plum CuYdCutF CuYdFill
Project Address (Not maligirilg addrass) I- Flood r Fire F— Liq Landslide rN/A Floor Suite No
F-2 o7, -w� .... , —
Description of Work Use F— Const Type
3.160 kw be r ,
-- #Stories # Units (if Res-
Valuation $
New/Add SF Remodel SF���� Garage/New/Add F--- .e Material/Labor '
OWNER'S NAME Last First
Owner's Address Owner's E-mail Address
City State Zip �� Telephoned
_ _..._..... ... ..... .__._
City State Zip Telephone
CONTRACTOR'S NAME/COMPANY Lic. No. Class
Contractor's Address Contractor's E-mail Address
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City 417k, ) Ael State , Zip 9Z� -> Telephone 3 y(9 iS'
SETBACKS REAR SETBACKS FRONT PERMIT NO. Q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK N0. �(�� . Dof fl
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $