HomeMy WebLinkAboutX2019-2210 - Permit ApplicationFirst �� /t� Lic.No.I
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
City I State Fs ZAP F— Telephone
CONTRACTOR'S NAME/COMPANY
F Comm'I
Worksheet for Combo Building & Solar Permit Application
Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMIT.
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f Drainage Vl�klec (—Mech j—plum Cu YdcutF Cu Yd Fill
r Flood f— Fire F Liq F Landslide F_N/A
Floor Suite No
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OWNER'S NAME Last G QON / N
Use F ConstType F—
# Stories � # Units (if Res)f
Valuation oo
Material/Labor
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Owner's Address
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City EW P O _ ,L _ State Cl� Zip r----__
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APPLICANT'S NAME Last
First
Applicant's Address Applicant's E-mail Address
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Contractor's Address
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Contractor's E-mail Address
ZIP %Zy Telephone) 951 Ll 8419800
SETBACKS REAR SETBACKS FRONT
PERMIT NO. �4wot — Z Z ( O
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. QZE`% I \ SLt � _ ?�
USE ZONE DEVELOPMENT NO
— 63Z�LAN CHECK FEES $