HomeMy WebLinkAboutR2020-0300 - Permit ApplicationCity of Newport Beach 1,»Mr uNiTv
COMMUNITY DEVELOPMENT DEPARTMENT ::11=VFLOPMEN1
BUILDING DIVISION MAR 17 2020
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Records3oq-r
# of Units Address:
Property Owner:
Owner Address:
State C; Zip Code:
Please type or print and complete all information
City Xlewport,h3„eap11, Sate CA..= Zip.
Zip Code 92663
City:
Home Phone:
Owner's Authorized Agent: T7 Work Phone:
Agent Address 450Ne1
State CA- =! Zip Code:
Escrow Company Granit€
Escrow Address 4pNe
State CA Zip Code:
Email Report to t iCfdii
For Inspection call (Name):
City Newpoif;Beacla
Agent Email Address:
Escrow #:
City=t>IdV3jyork;Beaclt„ _ 5
Escrow Phone:
Direct Phone:
CONSENT TO INSPECT [FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040 .................. Make checks payable to CITYOF NEWPORT BEACH