Loading...
HomeMy WebLinkAboutR2021-0761 - Permit ApplicationCity of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT n BUILDING DIVISION lu/,u�l— 01 In 100 Civic Center Drive j P.O. Box 1768 1 Newport Beach, CA92658-8915 RBR# I V v 6 �y www.newportbeachca.gov 1 (949) 644-3200 Application for RPn^r+. f Please type or print and complete all information # of Units: n Address: C- 1 EI L J�� /�� T"ILPP city: Newport Beach State: ICp Zp: Lit lvv V L _ l _.•l Y ((,Ul Zp Code: Owner �Address: --� city_ State: ICA I Zip Code: I ! J . �- —I E- - I Home Phone: Owner's Authorized Agent: `.� �, ,n Work Phone: Agent Address•. ram_ F''�--+—� F�----, City; State: I I Zip Code: I 1 t--7— :] Agent Email Address: Escrow Company: Fscrow #: EsaowAddress: 4 State: ( Zip Code: �--`� ---J Escrow Phone:�_lQl�j 1,J� EmailReportto: I jilty !1 nn/1r�c"Zt, 1 /`.._., •�tr[-- ) iI For Inspection call (Name): Direct Phone: _I�( �• CONSENT TO INSPECT (FORM MUST BE SIGNM R nercn nc....... /- emmme_omisia�\Forms\roa ra-tt - - - ^' 1-1-1= w; u r r Ur NEWPORT BEACH