HomeMy WebLinkAboutR2021-0248 - Permit ApplicationM
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City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
20 /1 /C/'► www.newportbeachca.gov 1 (949) 644-3200
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Application for Report of Residential Building Records
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Home Phone:
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Owner's Authorized Agent:
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Email Report to
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For Inspection call
(Name):
Work Phone
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Agent Email Address:
Escrow #:
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Escrow Phone:
Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040 ............. (.... Make chile to CITY OF NEWPORT BEACH