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HomeMy WebLinkAboutF2024-0127 - Permit ApplicationI© 12 City of Newport Beach Fire Permit Application � Project Address 2�U� l �(�%Y qZ6,G Number and Street suite/unit zip Associated Building Permit # Owner /Tenant C Q L-ZC� Name 3 Scope of work/ CD N /V t7—T �q.�,� � "f� (�J� / ` �f �Cu i6 K-1 �'i% j¢l `�--C75 mist. description construction Demolition TI Addition Alteration -Check one 71 Commercial Fire Sprinkler 13 1 13R 13D nMulti-Family(3+units) Fire Alarm nResidential (1-2 units) Fire Underground -Check one El Fire Misc. *describe above Number of Stories per Nu m ber of FS Heads building nNumber of FA Devices ❑ Number of Dwelling Units Number of Risers -Write in accurate count 4 Applicant Information Name: Address: Phone#: Email: C3Check if same as Contractor Designer Information Name: Address: Phone#: Email: ®Check if same as Contractor Contractor Information Name: t3 ldL pCM%:5- 0(,Y Address: J S [?( 7— C9f`1 L/t7-GZ 5� V�_ It � f �f3 1 Phone#:/71 Email: Fn t k / (rlc�SUGiZ_ License#:9 I bk b Class: Office Use Permit Plan Check Permit/Plan Number Number Check Fee $ C7 w�A � w `9 • A Q Sis