HomeMy WebLinkAboutF2024-0558 - Permit ApplicationNEwcpkr.
City of Newport Beach Fire Permit Application
1
Project Address
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Number and Street suite/unit
zip
Associated Building Permit #
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Owner / Tenant
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Name
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Scope of work/
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misc. description
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TI Addition Alteration
Demolition
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*Check one
Number of Stories
Commercial X Fire Sprinkler
Number of Heads
per building
13 U13R 13D
Multi -Family (3+units) M Fire Alarm
F-IlVumber of Devices
D Number of
Dwelling Units
Residential (1-z units) OFire Underground
0 Number of Risers
"Check one rj Fire Misc.
*Write in accurate count
"describe above
4 Applicant Information Name: C4-e — +Lx Fif
Address: u0 t
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Phone#: Email:
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0 Check if same as Contractor
Designer Information Name:
Address: lon E.
Phone#:9 2 o-(p o Email:
eck if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Z"�Co Class: C_
Office Use
Permit Plan Check Permit/Plan
Number y`1 Number Check Fee $
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