HomeMy WebLinkAboutF2024-0253 - Permit ApplicationPG _ 1-L7g
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City of Newport Beach Fire Permit Application
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Project Address �SVV C(j yy q�ca ✓� g2i L5
Number and Street suite/unit zip
Associated Building Permit #
Owner / Tenant j
Name
Scope of work/
misc. description l mvr,(I V)C") C PV( -Prr Sl ^k� S�S �% �v I�PF A j
Con Vuction T Addition Demolition
-Cheek one
( Number of Stories per
Commercial Fire Sprinkler 1701Number of FS Heads building
El13 13ft 13D
nMulti -Family (3+units) I I Fire Alarm Number of FA Devices i� Number of Dwelling
Units
nResidential (1-2 units) Fire Underground n Number of Risers
*Check one Fire Misc. I *Write in accurate count
*describe above
Applicant Information
Name:
Nick- Ct(,"5°—
Address:
2,7,(,-77- L,awr6cf-f
S+.
Phone#:
1ti4-H7o-tio7L
Email: h+ckyL.cW5',r- C@ 0)�s I (av
Check if
same as Contractor
Designer Information
Name:
Address:
Phone#:
Email:
Check if
same as Contractor
Contractor Information
Name:
(__�d S7ri CMuho
Address:
2ZE 72 / c, ,6t/t
Phone#:
qqK _ t(70-06-7Z
Email:
License#:
Class: G(6 3C
Office Use Permit Plan Check Permit/Plan
Number Number Check Fee $
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