HomeMy WebLinkAboutF2024-0525 - Permit Application6)
City of Newport Beach Fire Permit Application,
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Project Address
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Numberand Street suite/unit zip
Associated Building Permit #
Owner / Tenant
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Name
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Scope of work/
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mist. description
Construction
TI Addition Alteration Demolition
*Check one
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Number of Stories
Commercial
Fire Sprinkler
P3
Number of Heads 3 per building
13R 13D
Multi -Family (3+units)
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�Iumber of Devices ID Number of
Dwelling Units
Residential (1-2 units)
OFire Underground
1711 Number of Risers
*Check one
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*Write in accurate count
*describe above
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Applicant Information Name: rytpEl� �p
Address: anrlc>> a,y4 x��^� �rne-nc�/ (_-9- ssry
Phone#: jyq &S013y4 Email: mc2p,-off q -i_r
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
0 Check if same as Contractor
Contractor Information
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Address: odoK arHS xE PU2T /3tgCy (H 9a •s5
Phone#: 9't ro56)73o4j Email:-ry��pFZC-nc�—reca,.�Q�c��r
License#: ? o r 4 G Class: o
Office Use
Permit
Number
Plan Check Permit /Plan
Number /� Z Check Fee $ �� i�-t(• O
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