HomeMy WebLinkAboutR2022-0068 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
�gtj,600� 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Please type or print and complete all information
#ofUnits: IT] Address: 310 Narcissus City: Newport Beach State: C Zip: 92625
Property Owner: -71
FjoyceE. Rutledge Revocable Trust Zip Code:
Owner Address: City:
State: Zip Code: Home Phone:
Owner's Authorized Agent: i Work Phone: �—
Agent Address: City:
State: Zip Code: C� Agent Email Address:
Escrow company:Freedom Escrow I Escrow #: 055168 MM
Escrow Address:) 1200 Newport Center Dr., Suite 180 city: I Newport Beach
State: Cq I Zip Code: 92660 Escrow Phone: (949) 644-3939
Email Report to: mm@ffeedomeSCrow.COm
For Inspection call (Name): I N/A 1 Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account .# 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
8ui1ding_0Msion\Forms\RBR_7-1-21