HomeMy WebLinkAboutR2020-0842 - Permit ApplicationPrint.Form City of Newport Beach SEP
COMMUNITY DEVELOPMENT DEPARTMENT 29 2020
BUILDING DIVISION
pp qn I' 100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA92658-891501TYOF
RBR# h�6 W Q�'f2 www.newportbeachca.gov 1 (949) 644-3200 `,
%10OPTBEPWC'�'
Application for Report of Residential Building Records
Application Fee: - $194.00 Notice:
(For AllResidentialBuildings) Applications with insufficient fee payment
Reinspeolon Fee $129.00 or incomplete will be returned
Please type or print and complete all Information
#ofUnits: C.Address: 0115 1City: Newport Beach; State: DZip!
Property Owner: M Kr.tel� ;1 Zip Cotle , .'.
nwnnr Addreac- 3r 5y 1 C— (-P sir i -C Gtv.