HomeMy WebLinkAboutR2020-0856 - Permit ApplicationVif CEIV$0
COMMUIVITY
City of Newport Beach OCT 05 RECD
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION ')SVELOpMe
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-891, OA- Nr z,
RBR# www.newportbeachca.gov 1 (949) 644-3200 4�FWPOR-T
Application for Report of Residential Building Records
Please type or print and complete all information
# of Units: Address:3 0 snug Harbor Roan
City: I- Nqwpqrt"'epokSate: Zip:
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Property Owner: z'Thoma0%P 1it Zip Code:
Escrow Company:
Escrow #:
Escrow Address: 1450 Newport $00
"77 1 City: thew'
State: ';.CA. ', Zip Code: Escrow Phone: jy'�(949);120411R'":'
Email Report to: Fjp6rk6nMqrg e -s row.'66
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For Inspection call (Name): •NONE Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040 .................. Make checks payable to CITY OF NEWPORT BEACH