HomeMy WebLinkAboutF2025-0023 - Permit Application (3)�'f'wcVR
City of Newport Beach Fire Permit Application
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IFProject Address
F
Number and Street suite/unit zi
P
Associated Building Permit # X(
Z Owner/Tenant 9
Name
Scope of work/ �. i, 1!; -. -r
3 r r_
mist. description
-
,a �
New
construction X TI Addition Alteration Demolition
Check one
Commercial 13 Fire S Sprinkler Number of stories
P Number of Heads Per building
13 13R 13D
Multi -Family (3+units) Fire Alarm Fkmber of Devices
Number of
Residential (1-2 units) Fire Underground Dwelling Units
g � Number of Risers
*Check one Fire Misc.
*Write in accurate count
*describe above
4 Applicant Information Name:P .1
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Address.
Phone#. Q ( 3'79
Check if same as Contractor '
Designer Information Name:
Address:
Phone#: Email:
Q Check if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit ���� plan Check ''`�
Number Number w •AAA Permit/Plan
VV Check Fee 5