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HomeMy WebLinkAboutS2024-0137 - Permit ApplicationWORKSHEET FOR POOL COMBINATION PERMIT APPLICATION CITY OF NEWPORT BEACH BUILDING DIVISION r LCAa[ VKIN I UK I YPE 1. PROJECT ADDRESS (NOT MAILING ADDRESS) LOT BLOCK 2. DESCRIPTION OF WORK SWIMMING POOL SPA v� fvUft r+NNI UNrld LU Uox ror Appucant TRACT Sao . 4 PC. ESTIMATED $ VALUATION POOL FENCING ❑ DRAINAGE ❑ 3. OWNER'S NAME LAST FIRST Trun �uh-e � vt ADDRESS OWNER'S E-MAIL ADDRESS CITY STATE ZIP PHONE NO. N ,-1 CIq &I24� 2,5 4. ENGINEE 'S NAME LAST FIRST LICENSE NO. ADDRESS ENGINEER'S I MAIL ADDRESS CITY STATE ZIP PHONE NO. 5. CONTRACTOR'S NAME BUSINESS LICENSE STATE LICENSE /`n�' No. ADDRESS 8411600 Class CONTRACTOR'S E-MAIL ADDRESS qlo — q ah w�c.i�c.�pv�s'<rvoi. oln Lp� Jesse ©. CITY STATE ZIP PHONE NO. �7t14 3Q3 :E USE ONLY PERMIT NO. PLAN CHECK NO. POOL P/C FEE $ C Pwt l «> SZW24- Q -7i l)ZO'Z4-5Z-'z_ fX 2024-134S7 DRAINAGE P/C FEE $