HomeMy WebLinkAboutXR2024-6457 - Permit ApplicationP(nt Form
IWorksheetNoECombo Building & SoEarPermit Application YAMffomm'IFt,-residentialODOF SUBMITTAL
City
Newport
: PLAN CHECK
ES
UE AT
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Project Address (Not mailing address) r Flood r Fire r Liq r Landslide F_N/A Floor Suite No
Description of Work lLidjlZ Z)7kWA6fl L 7?d17 2A 61�G%/—
UseConstType /
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# Stories741A Units (if Res)�3
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SC Garage/New/Add Mate
New/Add SF
OWNER'S NAME abjor 2 !_ •
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Owner's Address / Owner's E-mail Address
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City State F7-A Zip ; 2 J, Telephone
APPLICANT'S NAME Last ��/�rl X First !rl S/
Applicant's Address �q Applicant's E-mail Address
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City 1SLZ A ) State Ci`I Zip "7-j Telephone `% LJ — G'�>
ARCHITECT/DESIGNER'S NAME Last `r�S /L / Alf J First /Z I // �—
i ! /V[� t Lic N ? c L
Architect/Designer's Address { Architect/Designer's E-mail Address s
City State Zi Telephoned
ENGINEER'S NAME Last First F Lic. No.F__
Engineer's Address Engineer's E-mail Address
City I State �— Zip F Telephoned
CONTRACTOR'S NAME/COMPANY Lic. No. F_ classF_
Contractor's Address Contractor's E-mail Address
City State �— Zip �— Telephone
SETBACKS REAR SETBACKS FRONT PERMIT NO. P264,64$7
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES $