HomeMy WebLinkAboutXC2024-0412 - Permit Application (3)City
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6
of Newport Beach Fire Permit
Application
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1
Project Address
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1
Number and Street
suiite""/unit
zip
Associated Building Permit #
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Owner/Tenant
Name
3
Scope of work/
P
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misc. description
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New ILI
Construction TI rl Addition
Alteration
Demolition
*Check one
Number of Stories
Commercial Fire Sprinkler
P3
Number of Heads
per building
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❑Multi -Family (3+units) M Fire Alarm
FIT lumber of Devices
Number of
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Dwelling Units
Residential (1-2 units) Fire Underground
M Number of Risers
'Check one r] Fire Misc.
'Write in accurate count
'describe above
4 Applicant Information Name: MAl<
Address:e7pvlL
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Phone#:
—
Q Check if same as Contractor
Designer Information Name:
Address:
Phone#: i ,
2 mail:
0 Check if sane a4 Contractor
Contractor Information Name:
Address:
Phone#:
Email:
License#:
Class:
Office Use
Permit (��I 1— / `I, �� Plan Check
Number 1 IWI V` v-1 Number
Permit / Plan
Check Fee $