Loading...
HomeMy WebLinkAboutR2020-0880 - Permit ApplicationDocuSign Envelope ID: B840DE2B-B033-4DF5-9823-EE786156730A City of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENI BUILDING DIVISIClN 100 civic Ceti or Drive I P.O. Box 17681 Newport Beach'„ R9R# www.newpor.theachea.gov. ( (949) 644-3200 #ofUnits: Address C�= } �} `y t r Newpert9each SCate; alp: Property Owner: Zip Code: Owner Address: AA City: State: GA Zip Lade: Home Phone: —� Owner's Authorized Agent "` Work Phone: Agent Address: c State: Zip bode: Agent Email Address;' Escrow Company: i Escrow #:nZG Escrow Address: w State: [-- Zip Cbde:y Escrow Rhone:' Emad Report to: 4 , For Inspection call (Name)Direct Phone:' tONSENT1T0INSPECT P Rm MU BE SIGNED & DATED BBlCIW) F ty�q i C rmiI, ti Gy �Q�F f'a'7 e lfl_ Olt, VR p . �,'•%� M1e�i��d'rN$'�h �.l�it�3°�''�=`,�"�,. .t'�i �� .Y,!' _ _d(h?'i :y� Account#+0105050" Ei21040 ..............„.Make checks payable to: CITY OF NEWPORT MCH &;u9n�nkimanTfgrmau+e5-7aazu.