HomeMy WebLinkAboutR2020-0801 - Permit Application�r City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
R202� V 08o ( 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
RBR# h www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Please tune or print and complete all information Q
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#of Units. 71, Address: Q a _0City: New port. Beach State: CA ;.Zip: Fq
Escrow Company:
Escrow Address:
State:I C11,
Email Report to:
For Inspection call (Name):
BNlding_Mvis)nn\Farms\RBR 9-1818
Direct Phone: N
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
I will be responsible to correct said violations.
authorize inspection: Date:
t�—
decline inspection: Date:
Account # 01050504-521040 ......... >./.... Make checks payable to: CITY OF NEWPORT BEACH