HomeMy WebLinkAboutXR2022-3151 - Permit ApplicationI_ Print Form I Worksheet for Combo Building & Solar Permit Application
F- Comm9 F_ Residential City of Newport Beach - Building Division
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Description of Work
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New/Add SF Remodel SF Valuation $
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OWNER'S NAME Last
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Owner's Address
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APPLICANT'S NAME Last p
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Applicant's Address Applicant's E-mail Address
City fate CA ZipTelephone
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ARCHITECT/DESIGNER'S NAME Last �
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Architect/Designer's Address ArchitecUDesigner's E-mail Address J
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ENGINEER'S NAME Last First �® l C�
Lic. No.F_
Engineer's Address Engineer's E-mail Address
City State �—
Zip I Telephone
CONTRACTOR'S NAME/COMPANY
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Contractor's Address ) Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. hCz6Zz, 3008
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