HomeMy WebLinkAboutF2024-0325 - Permit ApplicationCity of Newport Beach Fire Permit Application
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1
Project Address
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Number and Street
suite/unit
zip
Associated Building Permit #
2
Owner / Tenant
Name
l V
3 Scope of work/
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misc. description
T Q
TI Addition
ElNew
Alteration
Demolition
Construction
Check one
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Number of Stories
Commercial Fire Sprinkler
P3
Number of Heads
per building
LJ13R W13D
Multi -Family (3+units) M Fire arm
F Vumber of Devices
0 Number of
Dwelling Units
riResidential (1-2 units) aFire Underground
Number of Risers
*Check one 1j Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name: L v J � l/
Address: ,W
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Phone#:
Email:
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0 Check ifsa� (on/tractor
Designer Information Name: �n
('p} Cfiivl
Address:
Phone#:
Email:
Q Check if same as Contractor
Contractor Information Name:
Address:
Phone#:
Email:
License#:
Class:
Office Use
Permit Plan Check
Number Number
Permit I Plan
Check Fee $
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