HomeMy WebLinkAboutR2021-0799 - Permit ApplicationI
City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT'
BUILDING DIVISION
10001vic Center Drive I P.O, BOX, 17681 Newport Beach, CA92658-8915
www,newportbeachca,gov 1 (949) 644-3200
Please type or print And go-m0lete all information
N of Units; ElAddress: City: [Newpart Beath state: EZPIE'
23p Code,,
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State:
Zip
Home 'Phone:
0wrees Authorized Agent Work -Phone;
I 1 1. 24
Agent Address: -/city-
State: EZ2= ZIP Code: Agent Email Address: 1-favyl A j^'Pai-4,A,
Escrow Company- [Granite Escrow Escrow t
Escrow Address: 450 Newport Center Dr #600 City: Newport Beach
staf"!: =A ip Code. 92660 Escrow Phone -
1949 -720-0110
Em;.,Il Report tj
For !nspactlon call (Name): Direct Phone;
CONSEWTO INSPEU-(FORM MUST 015SIGNED St OATW, BELOW)