HomeMy WebLinkAboutXR2024-6701 - Permit ApplicationPrint Form_ Worksheet for Combo Building & Solar Permit Application
City of Newport Beach - Building Division
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Project Address (Not mailing address) [-_Filood [- Fire [- Liq [- Landslide [-N/A Floor Suite No
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OWNER'S NAME j/ sly
Owner's Address Owner's E-mail Address
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City /� �j'� /1 State F7A Zip �L� /� ' ! " Telephone 77 - }
APPLICANT'S NAME Last %`� U f�( First
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Applicant's Address Applicant's E-mail Address
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City /, L /—'_"!,4 s �r&r1JI--) State Zip r;/ � g Telephone T
ARCHITECT/DESIGNER'S NAME Last 1 / Zj First F
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Architect/Designer's AddressArchitect/Designer's E-mail Address
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City State Zip Telephone
ENGINEER'S NAME Last First Lic. No.F_
Engineer's Address Engineer's E-mail Address
City I State F_ Zip F_— Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. F Class
Contractor's Address Contractor's E-mail Address
City State Zip F TelephoneF
SETBACKS REAR SETBACKS FRONT PERMIT NO. q oqJ Zf
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $