HomeMy WebLinkAboutXR2023-0256 - Permit ApplicationGarage/New/Add F—
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Owner's Address
Owner's E-mail Address
City xState �—
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Applicant's Address
Applicant's E-mail Address
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Material/Labor
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ArchitecUDesigner's Address
City State F—
First I —
Lic. No. �—
ArchitecUDesigner's E-mail Address
ZIP F_— Telephoned —
ENGINEER'S NAME Last
First (�% �N tip _ Lic. No. 52 Engineer's Address —-----___
Engineers E-mail Address
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State �— Zip �? 7 Q� Telephone /4 �Zo/Z
CONTRACTOR'S NAME/COMPANY
C. Comm'I [- Residential
Worksheet for Building .Combo Permit Application
City of Newport Beach - Building Division
NOTE: PLAN CHECK FEE DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address)
Description of Work
New/Add SF Remodel SF
OWNER'S NAME Last
N(>(LS [w I —( 14} Lic. No. ,W72,47) Class
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Contractor's Address- - -- ---
Contractor's E-mail Address
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State Zip Ia7ib� Telephone
ENERGY P/C FEE $
GRADING P/C FEE $
FIRE P/C FEE $
PLANNING P/C FEE $
PERMIT NO.
PLAN CHECK NO
ELEC/PLUM/MECH P/C FEE $
6EVELOPMENT# PLAN CHECK FEE $
TOTAL FEES PAID S