HomeMy WebLinkAboutR2020-0900 - Permit Application=i�ntMw City of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
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BUILDING DIVISION
l� p 100 Civic Center Drive I P.O. Box 1768 Newport Beach, CA 92658-8915
RBR# �202y- www.newportbeachca.gov (949)644-3200 0 C 1 19 2026
Property Own er. 171Wll _._. __ I Zip Code: IZ.�.CID•l
Owner Address. sL0 G Vt-) �i— 0- ✓1� U 1'Z.� City: 0Y4
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State: CA !, Zip Code �12J.Lul Home Phone: (—
Owner's Authorized Agent: C,75d Rc, Work Phone:
Agent Address: \2o--) 1\ rxi Ct„Wi'G✓ TY j o--3 City:... r\1Z &-)rv*
State: C--,�-�' Zip Code. I Agent Email Address:
Escrow Company: GE:--hl��sL.LUL-� . _ Escrow #:
Escrow Address: 32&DW-h -ki-A 3 City:GC1Ai�O ! OI �2
State:G� Zip Code: 2�-�-� Escrow Phone: G �% 5-73 Bt 01D
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Email Report to:
For Inspection call (Name): yl �,,. Direct Phone: �l OlV"Z-`27
CONSENT TO INSPECT (FORM MUST BE SIGNED & DATED BELOW)
Account # 01050504-521040 .................Make checks payable to: CITY OF NEWPORT BEACH
Building DIvlslon\Forms\RBR_7-30-20