HomeMy WebLinkAboutX2019-0875 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application (IM
Comm'I f- Residential City of Newport Beach - Building DivisionNOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Address (Not
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Description of Work
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Use I—Const Type
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I�Valuation
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OWNER'S NAME Last
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APPLICANT'S NAME Last
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Applicant's Address
Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME
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Arrchhitect/Designer'ss E-mail Address
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ENGINEER'S NAME Last
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First Lic. No.7
Engineer's Address
Engineer's E-mail Address
City
State �— Zip �— Telephone[�
CONTRACTOR'S NAME/COMPANY
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Coontractor's Address
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Contractor's E-mail Address
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SETBACKSREAR
SETBACKS FRONT PERMIT NO.
SETBACKS LEFT
fz SETBACKS RIGHT PLAN CHECK NO.
USE ZONE
DEVELOPMENT NO PLAN CHECK FEES $