HomeMy WebLinkAboutX2016-3874 - Permit ApplicationXzo�(r - SS__�4 ,?
±rintForrn� Worksheet for Combo Building & Solar Permit Application
Comm I i-- Resdential City of Newport Flearh - Buildina Division
NOTE PLAN r1HECK FEES DUE AT TIME OF SUPIMfTTAL
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of Work
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OWNER'S NAME Last r,�----
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Owner's Address
Owner's E-mad Address
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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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ENGINEER'S NAME Last h ra �Q (t d First i
Engineer's Address Engineers E-mail A•sdress
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SETBACKS FROMI
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