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HomeMy WebLinkAboutR2022-0202 - Permit ApplicationCity of Newport Beach 0y; COMMUNITY DEVELOPMENT DEPARTMENT COMMUNITY BUILDING DIVISION !7EHELOPMENT 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8� www.newportbeachca.gov 1 (949) 644-3200 ',� K 13 2022 RBR#ZW- ZP� Application for Report of Residential Building Records *rYoF Please type or print and complete all information #of Units: 9Address ., city: ,Sate: M ZiP•57.t .9= Property Owner l l str4.. YJ .t#rraY= m : E r . n „a n s:;m Zip Code: Owner Address 1, : w. E .. _ _,,. - . lq°r...:_.$ City. State. Zip Code r Home Phone:'IgH4g t ae=.'r Owner's Authorized Agent 9oFi= S¢ tw;rnt ; a § a ? ;, A ME,'Work Phone: Agent Address (2tt °,'> : t , .....0 nBrau ti err .. aj T P° 4 s�, n ai', City: State Zip Code ? B Fu. i;ftf ,. Agent Email Address: Escrow Company. G'1''OHMO, .: i t9 °S tk€' _eYttrS. 43 ices „ `;; ,,,, : n „n ,G1 v Escrow #: Escrow Address 5..6 _ Cdh ei„SOWN' aIS, td: Yy.r: � Y� ., mrr;F°° City: State a, '' Zip Code. _°� :5r.}t6 o Escrow Phone:hv� Nun Email Report to. 1'WpygtiYf dyYcam llheilRz , For Inspection call (Name) �( n . arR,a a _v,,,uv;;; Direct Phone: CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW to CITY OF NEWPORT BEACH Builtling_DivisicnTorms1RBR_7A-21