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HomeMy WebLinkAboutX2020-2808 - Permit ApplicationPrint Form _ Worksheet for Combo Building & Solar Permit Application F Comm'( ❑ Residential City of Newport Beach -Building Division t NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V 0Buildin g ❑ Grading [Drainage ❑ Elec [ Mech 0 plum Cu Yd cutl Cu Yd Fill Project Address (Not mailing address) 0 Flood [Fire [ Liq [ Landslidee [N/A Floor nSuite No Description of Work Use Const Type # Stories® # Units (if Res)EI New/Add SFRemodel SF ` 2 (Garage/New/Add Valuation $ I ^ Il Material/Labor OWNER'S NAME Last First Owner's Address 5Owners E-mail Address n �^ itQnh��CJ � a, P )A ra r� City �r�7/C� ) 1�r State �— S'"� Zip ® Telephone��V�, APPLICANT'S NAME Last I First GC Applicant's Address Applicant's E-mail Address r i City ur"'\�S State Zip �3 Telep on ARCHITECT/DESIGNER'S NAME Last First /4�c. No. Architect/Designer's Address ArchitecUDesig er - ail ss St-c cfio v City Wt�L State Zip R F r el e ENGINEER'S NAME Last 'rst Lic. No.� Engineer's Address Engineer's E- it Address city State Zip TelephoneF_____1, CONTRACTOR'S NAME/COMPANY Lic. No. $ lass — — I Contractor's Address Contractor's E-mail Address ty I CI _ __� State �f Zip 7 TelephoneF =LEFT SETBACKS FRONT PERMIT NO. SETBACKS RIGHTPLAN CHECK NO.©DEVELOPMENT NO PLAN CHECK FEES $