HomeMy WebLinkAboutXR2023-1694 - Permit ApplicationPrint Form Worksheet for Combo Building $ Solar Permit Application
Comm'I Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL V 5' „.•
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Description of Work
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Material/Labor
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OWNER'S NAME Last GD ��� i �RS First
Owner's Address Owners E-mail Address
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APPLICANT'S NAME Last First
Applicant's Address Applicant's E-mail Address
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Architect/Designees Address Architect/Designees E-mail Address
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ENGINEER'S NAME Last First Lic. No.,.
Engineers Address Engineers E-mail Address
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CONTRACTOR'SNAME/COMPANY
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Lic.No. / ClassC�rectorContractors
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Address .0601lt&nE-mail Address
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SETBACKS REAR SETBACKS FRONT U PERMIT NO. Xk ;z0,-23-4
SETBACKS LEFT SETBACKS RIGHT PLAN CHECK NO.
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