HomeMy WebLinkAboutR2021-0064 - Permit ApplicationRBR# a 1 _ 0 6 y
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
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www.newportDeacnca.gov 1 (949) 644-3200 UZV".i c (- 6?tdT r
Application for Report of Residential Building Records
# of Units Address:
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Property Owner Susan J B Yt)ci1N Zip Code
Owner Address
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Zip Code:
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Home Phone:
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Agent Address
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Escrow Company
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Escrow # =Q4-44An71v. ,r. -
Escrow Address
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Escrow Phone: 9�i9)"72Q,O��fl'.
Email Report to
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For Inspection call
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CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040 .................. Make checks payable to CITY OF NEWPORT BEACH