HomeMy WebLinkAboutR2020-0825 - Permit ApplicationCity of Newport Beach 'r J I-
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COMMUNITY DEVELOPMENT DEPARTMENT COAT fUNffr
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA StJ'9151
RBR# �L1�1.� 66 www.newportbeachca.gov 1 (949) 644-3200 11L 66 i
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# of Units: ❑ Address: I ✓ City: Newport Beach State: CA Zip:
Property
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Owner Address:
State: CA
Owner's Auth'o'rized Agent: ,��' gyp` (Nn Work Phone: q —to Cin — �r >
Agent Address: i' p City:`/i
State: ® Zip Code: �c r' % Agent Email Address:
Escrow Company: I J,
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State:
Email Report to:
For Inspection ca
Escrow #:jCY-)jPj--,447777
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
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Account # U1UbU5U4-SZ1U4U .................Make checks payable to: CITY OF NEWPORT BEACH
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