HomeMy WebLinkAboutR2021-0416 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915
F'b l www.newportbeachca.gov 1 (949) 644-3200
Application for Report of Residential Building Records
Please type or print and complete all information
#ofUnits: Address: 44H ISabellaTerrace City: NewportBeach State: CA Zip: 9262
Property Owner: Ajang Atarod Zip Code:
Owner Address: City:
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State: CA Zip Code: Home Phone:
Owner's Authorized Agent: ! Work Phone:
Agent Address: City:
State: Zip Code: F777711 Agent Email Address:
Escrow Company: Freedom Escrow Escrow #:i
Escrow Address: 1200 Newport Center Dr., Suite180 city: Newport Beach
State: CA Zip Code: 5j62j7 Escrow Phone: 1 (949) 644-3939
Email Report to: mm@freedomescrow.com
For Inspection call (Name): N/A Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 ................. Make checks payable to: CITY OFNEWPORTBEACH
BAdin,Division\Forms\ABO 7d0-ZO