HomeMy WebLinkAboutXR2023-2012 - Permit ApplicationPrint Form I Worksheet for Combo Building & Solar Permit Application
F Comm'I ( Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Valuation
Material/Labor
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APPLICANT'S NAME Last
Applicant's Address
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ARCHITECT/DESIGNER'S NAME
Last
Architect/Designer's Address
City
ENGINEER'S NAME Last
Engineer's Address
City
CONTRACTOR'S NAME/COMPANY
Applicant's E-mail Ad/dress
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City State
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SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT
USE ZONE
SETBACKS RIGHT
DEVELOPMENT NO
PERMIT NO. j&1NV43-.in,
PLAN CHECK NO.
PLAN CHECK FEES $