HomeMy WebLinkAboutM2008-0033worksheet ior �
30ding (;Ombo Permit Application
Please print i copies City of Newport Beach - Building DeparRAVBOR RESOURM
r.Building r—. Grading F -Drainage f— Elec f 70" (f, NMRTBEA F,
Tot
1. Project Address (Not mailing address)
Tenant Name(if Applicable) # Units (if Residential)
2. Description of Work
Exist House 8F| | --'-i DemnHovovSi _Add/<evvn�ondHn0008Fi
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Exist Gar SF || DomvGumgo8F| |AduRoonnohoc\GwagcSF !
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OV TOTAL GA"GE 8F | |
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# Stories |
Cu Yd
Cu Yd Fill
f� 3. Owner's Name Last
Owner's Address Ownees E-mail Address
L -)e" State Telephone
f— 4. ArchitecV;esigner's Name Last F77777.—. First F777777 Lic. No. F
Architect/Designer's Address ArchitectlDesigner's E-mail Address
city State ZIP
CA
Engineer's Address E-mail Address
City State Zip
6. Contractor's Name Last 'he I First Lic. No. Class
F777777 Fj;,
Contractors Address Contractor's E-mail Address
State Zi phon
DFf7CEU6EO8LY GNERGYP/CFEE$
GRADING P/C FEE $
Rev 7118107 ELEC/MECH/PLUM P/C
PERMIT NO.
PLAN CHECK NO.
PLAN CHECK FEE $
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HARBOR RUOURC DIV.
CITY OF NEWPORT BEACH
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CITY OF NEWPORT BEACH
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