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F2025-5217 - Permit Application
NF'� Oqr 4 k 4:1`n City of Newport Beach Fire Permit Application z 4(�•{IVN�' 1 Project Address ff�� / 3 �Pw��f� CODIS+b,\ k Number and Street suite/unit zip Associated Building Permit # 2 Owner / Tenant ZYv 5 Y j G IC f Name 3 Scope of work/ /N S �Ul� l 3 misc. description Neal TI Addition Alteration Demolition Construction *Check one Number of Stories Commercial Fire Sprinkler 3 Number of Heads 1 per building 13 13R LJ1TD Multi -Family (3+units) Fire Alarm lumber of Devices Number of Dwelling Units �jFire Underground Residential (1-2 units) � _ _J © Number of Risers *Checkone ED Fire Misc. *Write in accurate count *describe above //�� 4 Applicant Information Name: e4 t_sckis o t^ Address: 2,9 5-1 j ti 1,✓i d t.✓�• Phone#: 62 213 -75C j Email: , , QCheck if same as Contractor Designer Information Name: 1?,/e— ! ! 4-c 1, l Address: Phone# 95-/ 5-33'357&maiLA/e 5prK/(c�T Q Check if same as Contractor Contractor Information Name: e0 trl ��� i (-C 1pt"z c Address: /33 oq CPM fro' \)k, Phone# 90 c6/,3-0�zg, Email:�aNt[ (a /fir r' l hvt Ploivc i License#: 2> / Z Class:c-i b Co Office Use Permit Plan Check Permit / Plan Number Number Check Fee $ F 2V 25 �5Z A-cou