HomeMy WebLinkAboutR2021-0236 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
/o �/ a 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
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RBR# ` b www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
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#ofUnits: n Address: a� QrnYi A�� City: Newport_Beach,i State: CA Zip:
Property
Owner Address:
State: F77777 Zip Code:
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Home Phone:
Owner's Authorized Agent: F Work Phone:
Agent Address: City:
State: F77777 Zip Code: F-7::] Agent Email Address:
Zip Code:q'�('
Escrow Company: _-.R-2GYh �SC>rOV� Escrow #: Os `I
Escrow Address: (.),W Nr�, ,,,, City: WV'r(+- Pgr"(
State: rT�A Zip Code: Escrow Phone:
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For Inspection call (Name): _ -..- Direct Phone: L
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
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