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HomeMy WebLinkAboutR2022-0072 - Permit ApplicationCity of Newport Beach COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION FO /j/., 61 � 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-8915 RBR# �/U (�(�Uwww.newportboachca.gov 1 (949) 644-3200 Application for Report of Residential Building Records Email Report to: I �1" p Q nn e 11 For Inspection call (Name): 62-(f � Direct Phone: u� _, i CONSENTTO INSPECT (FORM MUST BE SIGNED & DATED BELOW) oviioi��mvisiomrvormssnnn 7 -¢n -m Please type or print and complete all information # of Units: Address;49 -e PI Cic,-e City:PePportBeach State: CA Zip: O (�� Property Owner; k .D ij Inn q (� Zip Code: (p //�� Q Email Report to: I �1" p Q nn e 11 For Inspection call (Name): 62-(f � Direct Phone: u� _, i CONSENTTO INSPECT (FORM MUST BE SIGNED & DATED BELOW) oviioi��mvisiomrvormssnnn 7 -¢n -m