HomeMy WebLinkAboutX2022-0453 - Permit ApplicationPrint Foam Workshrt for Combo Building & Solar Permit
j— Comm1 [ Residential City of Newport Beach - Building Division
i ( X ) NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITT/
Building E, Grading
Address (Not
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OWNER'S NAME Last [
Owners Address
City
APPLICANT'S NAME Last
Applicant's Address
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# Stories # Units (if Res)[7
Owners E-mail Address
State r.. Zip TelephoneF_
State �� Zip
First
Applicant's E-mail Address
ARCHITECT/DESIGNER'S NAME Last
CL First
Architect/Designers Address
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City State
Lic. No.
Architect/Designers E-m it Address
Zip L�' Telephoned
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ENGINEER'S NAME Lash a` First Lic. No. ' � , ,;
Engineers Address
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Zip qz Telephone
CONTRACTOR'S NAME/COMPANYfl IC r c..' Lic. No. K/ClassFE_
Contractors Address
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City( 4�— State
SETBACKS REAR
SETBACKS FRONT
Contractors E-mail Address
Zip Telephone
PERMIT NO.
SETBACKS LEFT SETBACKS RIGHT ..PLAN CHECK NO! l
USE ZONE DEVELOPMENT NO r 1 1c 77
J CAN CHECK FEES $
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