HomeMy WebLinkAboutXR2023-2249 - Permit ApplicationI o¢vo¢��aecca ®Ve VVInuV I.JUIRAIIR9 Ot OVIdI r-CIIIIIL HiJiJlll:dLlOrt >
City of Newport
Comm'I r' Residential p rt Beach -Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL u
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uilding Grading F-Drainage r Elec F_ Mech F- plum Cu vd Cut F_
Cu vd Fill I 'I
Project Address (Not mailing address) F Flood r Fire f- Liq F_ Landslide FN/A Floor /
Suite No
2I 5.5.he r_ �>1 km nL . tee k. FC��
Description of Work
v�+ Use F ConstType
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# Stories #Units (if Res)
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Valuation $
New/Add SFF— Remodel SF Garage/New/Add �— Material/Labor - - l
OWNER'S NAME Last FtQ r kjQ f - First
Owner's Address
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Owner's E-mail Address
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City .1.�t� r State
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- -- --f" . 3GQ 1. Zip 210�3 Telephone��:_-� d O
APPLICANT'S NAME Last l �(Z�t-� First —'
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Applicant's Address Applicant's E-mail Address
WlaJtr 51 n9� C2 iooyl. ct
cityG_r d (� Zi p 1
a r?v) v rQ�Jp� State p Telephone
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ARCHITECT/DESIGNER'S NAME Last
First F_ Lic. No. �—
Architect/Designer's Address Architect/Designer's E-mail Address
City State F Zip �— TelephoneF—
ENGINEER'S NAME Last First Lic. No.�----
Engineer's Address Engineer's E-mail Address
-
City � State �® ZiP F— Telephone�—
CONTRACTOR'S NAME/COMPANY Lic. No. 9�U93Class�
Contractor's Address J Contractor's E-mail Address
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Wacfar, e 5, ryl �eSfar4f; (sA.Cd
City V Q (�11 l7 Miijt State Zip "I `j�iD Ll I Telephone y) 3 --1 4 C6 2
SETBACKS REAR SETBACKS FRONT PERMIT NO. XZ •ZZ 7 q
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO. J'Ctdt3—1g�q
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $