HomeMy WebLinkAboutX2021-0427 - Permit ApplicationP ENo-ksheet for Building Combo Permit Appll!Gation
P� Cornm'I ❑Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
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tOwer`s Address
Owners E-mail Address
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APPLICANT'S NAME
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Appllcart's Address '
Applicant's E-mail Address
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ENGINEER'S NAME Last
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Englnear's Address J
Engineer's E-mail Address
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ZIP � Telephoned
CONTRACTOR'S NAr,/IE/CC)MPFtNY
Contractor's Address
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CityFydhQ _� State C I
NERGY P/C FEE $
RADING P/C FEE $
FIRE P/C FEE $
PLANNING P/C FEE $
_EC/PLUIWMECH P/C FEE $
Contractors E-mail Address
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ZIP Cj2(Ig Telephone q yy_ Sy_ybso
PERNTNO, iCZDZI — Uc/Z-7
PLAN CHECK NO. C)qI -7_0,z,
PLAID CHECK FEE $