HomeMy WebLinkAboutR2022-0016 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT '
BUILDING DIVISION
1`2622 �6� IO 100 C1vic Center Drive 1 P.0, Box 17681 Newport Beach, CA92668-8915
RBR# www.newportbeachca.gov 1 (949) 644-3200
Please type or Print and complete all information:
# of Units: Address: 613 NARCISSUS AVE. City:F!! ch State Zip: 92625
Zip Code: ( 92625
Owner Address. ( 61.3 NARCISSUS AVE. City. CORONA DEL MAR
_�.. ,.,... _
State: CA j zip Code: 92625 Home Phone: N/A
Escrow Address: 450 NEWPORT CENTER DRIVE STF. 100 City:
State: CA Zip Code: F92660
Email Report to:
Escrow #: 04 46372 jjd
NBEACN'
Escrow Phone: 949.538-2413
For inspection call (Name): N/A Direct Phone: N/A
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account# 01050504521040 -...::...........Make checks payable to: ary'OFNEWPORTBEAchr
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