HomeMy WebLinkAboutF2024-0375 - Permit Application,0*
City of Newport Beach Fire Permit Application,
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Project Address
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Number and Street
suite/unit
zip
Associated Building Permit #
2
Owner / Tenant
Name
3
Scope work/
mist. description
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New E
Construction TI Addition
Alteration
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Demolition
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*Check one
Number of Stories
Commercial Fire Sprinkler
Number of Heads
per building
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MMulti-Family (3+units) M Fire Alarm
Fkmber of Devices
Number of
Dwelling Units
Residential (1-2 units) Fire Underground
Number of Risers
-Check one Fire Misc.
*Write in accurate count
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4 Applicant Information a� �:r�
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Phone#:
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0 Check if same as Contractor
Designer Information Name:
Address:
Phone#:
Email:
0 Check if same as Contractor
Contractor Information Name:
Address:
Phone— #:
Email:
License#:
Class:
Office Use
Permit ''..»»♦� ��� Plan Check
Permit/ Plan
Number F�`"l Number
Check Fee $
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