HomeMy WebLinkAboutR2021-0578 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
,ry o 0 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
?, 2 www,rrewoortheachcaeiiv 1 (949) 644-3200
RBR#
Application for Report of Residential Building Records
# of Units.._.. Address:
Property Owner:
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Zip Code-
Owner Address
[5,77-... . _--u a �_;, .,_ .,n e. . ...', , .� .?,.-'City. , �s , r- -�,._
Stater ;' Zip Code: i '"I -.. y . n .;. " Home Phone. `'+
Owner's Authorized Agent: NanBarfieid" -` :.. `,.`_ ,., ..�:.x'-., ,.; Work Phone,
Agent Address;:
460 Neuup6rk Cehter i3r #500 ° ' City: ti39ew brt BeacFi
State:
Zip Code: Agent Email Address.
For Inspection call (Name) ' c k.., 7-77-77--5!,j-Direct Phone.
COMSENT10dNSPECT11FORM MUST BE SIGNED AND DATED BELOW.
Account It 01050504-521040 .................. Make checks payable to CITY OF NEWPORT BEACH