HomeMy WebLinkAboutXR2023-1401 - Permit ApplicationPr ,t Fo Woricsheef for Combo Building;& Solar Permit AppHeation
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City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Valuation
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OWNER'S NAME Last Y
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Owner's Address
Owner's E-mail Address —�
City e Zip I-- Tele honel—
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APPLICANT'S NAME Last �� r//�n First
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Applicant's Address Applicant's E-mail Address
City State �s�ZEZ Telephonep
ARCHITECT/DESIGNER'S NAME Last /�/L / /� / First l�ti�y Lic. Not -�d Z L a
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Architect/Designer's Address Architect/Designer's E-mail Address
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ENGINEER'S NAME Last First Lic. No.l—
Engineer's Address Engineer's E-mail Address
City State [® Zip F— Telephonel--
CONTRACTOR'S NAME/COMPANY A(.lr+ p_„�,qt_ac„ - Lic. No. �E[�Y-2 ClassF
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Contractor's Address E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMITNO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $