HomeMy WebLinkAboutX2020-0406 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application o,a Pp e
Comm'I Residential City of Newport Beach - Building Division p
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Project Address (Not mailing address) F_ Flood F Fire F,-, 6' r- Landslide (-NSA Floor Suite No
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Description of Work
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OWNER'S NAME Last ��y�� Flit _
Owner's Address OwneE-mailEAddress
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APPLICANT'S NAME Last 1J� )� \( w0 A-)6z ; �sirst
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Applicant's Address O"'JI
Applicant's E-mail Address
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ARCHITErC-T//DDESIGNER'SSUNAME Last G[', t First —rLic Noi�
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ArchiteeWesigner's Address Architect/Designer's E-mail Address
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City ` State Zip I TelephoneF_
ENGINEER'S NAME Last First F_ Lic No.F—
Engineer's Address Engineer's E-mail Address
City State Zip TelephoneF
CONTRACTOR'S NAME/COMPANY Lic No
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11 �� X Class F
Contractor's Address Contractor's E-mail Address 1.
City State �� Zip [_ Telephoned( u
SETBACKS REAR SETBACKS FRONT PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $