HomeMy WebLinkAboutXR2022-3305 - Permit ApplicationPrint Form
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Worksheet for Combo Building & Solar Permit Application
ial City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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[` Mech
Project Address (Not mailing address) F_ Flood
of Work
New/Add SF
Remodel
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City
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Suite No
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# Stories # Units (if Res)
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Garage/New/Add �— Valuation $
Material/Labor
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Owner's E-mail Address
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APPLICANT'S NAME
Last
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Applicant's Address
City
Zip
ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
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ENGINEER'S NAME Last
Engineer's Address
City
CONTRACTOR'S NAME/COMPANY
Contractor's Address
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plicant's E-mail Address
Telephon
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chitect/ esigner's E-mail
Telephone
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Lic. No.
Lic No
Engineer's E-mail Address
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Contractor's E-mail Address
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State
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SETBACKS REAR
SETBACKS FRONT J
SETBACKS LEFT
PERMIT NO. ('
SETBACKS RIGHT
USE ZONE ---_ PLAN CHECK N
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