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HomeMy WebLinkAboutR2022-0312 - Permits (2)�Cp/LtcO O Oy City of Newport Beach 8202? COMMUNITY DEVELOPMENT DEPARTMENT BUILDING DIVISION 'L O/TYO,c 100 Civic Center Drive i P.O. Box 17681 Newport Beach, CA92658-8915� pgR# A2Z!:' JL www.newporibeachea.gov 1(949) 644-3200 �r @EACH for Report of Residential Building Records Please type or Print and complete all information #of Unity. 171 Address: 'J(.3 - ° - � City: Newpprt Beach State: CZip:LL-dtllLQLLJ Property Owner. Q Zip Code: o v- Low Owner Address: (�� 4�%1 b f I GZ = City: - z u fI a r I f State: t� lip Code: � Home Phone: - Owne2s Authorized AgentJL'0n*j(,j i Work Phone: I Agent Address. 5D I We 4Uti *-S 70 I Oh': G}(4 State_I—L J Zip Code: 0 Agent Email Address: Fat a / )�- I s� kr (G Z a'� /i I 17 v I:1 (d is i Escrow Company: -Granite Escrow Escrow EscroWAddress: 450 Newport Center Dr #600 may: FNewport Beach State: CA Zip Code: 92660 Escrow Phone: 949-720-0110 Email Report to: tdarling@graniteescrow.com For Inspection call (Name): Direct Phone• CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED RaMM Account # 07050504-S21040 .................Make checks payable to: a ry OF NEINPOR T BEACH Bu11dFLOM4nn�Fa�ms�RBX�J-Hl