HomeMy WebLinkAboutR2020-0290 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT �X, IVEa &I,
BUILDING DIVISION COh9MUNITY
L OPMENT
100 Civic Center drive J P.O. Box 17681 Newport Beach, CA 9 &93 8915
www.newportbeachca.gov 1 (949) 6443200 MAR 13 2020
for Report of Residential Buildinra Records
Pleasepe or print and complete all information
# of Units: F I Address: 3348 Via Lido City: NewportBeach State: ICA I Zip: 92663
Property Owner: homas Gallaway Zip Code: E-`:
Owner Address: 10 Hidden Oaks City: Coto De Cana
State: CA Zip Code: 92679 Home Phone 774612 8239
Owner's Authorized Agent: See above Work Phone:
Agent Address: City.
State: F� Zip Code: Agent Email Address:
Escrow Company:Iron lfey Escrow, INc. Escrow# 3348 Via Udo
Escrow Address:22521 Avenida Empresa City; Rancho Santa Margarita
State: FCACode-Code; 92688 Escrow Phone: 949-546-8970
Email Report To: patti@ironkeyescrow.com
For Inspection Call (Name): WA ; Direct Phone: �—
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 2900-5005..............».Make checks payable to CITYOFNEWPORT BEACH