HomeMy WebLinkAboutXC2024-0447 - Permit Application (2)�LW PUkI
city of Newport Beach Fire Permit Application
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1 [Project IDD I N Jr!bP-T LGW7,1�je.OP--.
Number and Street suite/unit zip
Associated Building Permit #
Owner / Name
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3
New TI Addition Alteration Demolition
Construction
Scope
Scope s work/ Pt ft � �n s ✓I f r�
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Commercial
Designer Information
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Number of Stories
Number of Heads per building
❑Number of Devices ❑ Number of
Dwelling Units
❑ Number of Risers
*write in accurate count
Phone#: Email:
Check it same as Contractor
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Phone#: Email:
Check if same as Contractor
Contractor Information Name: .S S�9
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Address:
Phone#: Z353 68o Email:
License#: %I b01 Q 4,� Class:
Office Use
Plan Checkp q C \ Permit I Plan
Permit Number l G Z V✓ l V Check Fee $
Number
13 13R 13D
Fire Sprinkler