HomeMy WebLinkAboutF2024-0533 - Permit ApplicationCity of Newport Beach Fire Permit Application
1E7ectAdress
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Number and Streetite
su/unit
Zip
Associated Building Permit #
2 Owner/Tenant
Name `%c—'I-�Cb1
3 Scope of work/
misc. description /Ue'il Izeg1 !Z
New
Construction TI Addition Alteration
Demolition
Check one
Commercial Fire Sprinkler I Number of Heads
2 Number of Stories
13 LJ13R 13D
per building
Multi-Family(3+units) Q Fire Alarm umber of Devices
Number of
Residential (1-2 units) Fire Underground tI Number of Risers
Dwelling Units
---------
*Check one rl Fire Misc. *Write
in accurate count
*describe above
4 Applicant Information Name �vrth eGc'T
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Address: Iq CS 5. EI Cs}mrNe
Phone#: R-f-i -d43-ye, oY Email:
Check if same as Contractor
Designer Information Name:
Address:
Phone#: Email:
EjCheck if same as Contractor
Contractor Information Name:
Address:
Phone#: Email:
License#: Class:
Office Use
Permit L 777 Plan Check
Number y� Number ,O(r��K+l S3 Permit/Plan
D Check Fee $