HomeMy WebLinkAboutR2022-0078 - Permit ApplicationCity of Newport Beach
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
U d l vU www.newoortbeachca.eov 1 (949) 644-3200
RBR#
Application for Report of Residential Building Records
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# of Units Address: €;80 Be" .,IidYe, R° t i.? -.,Ea, City: a1rSfidh :; Sete i$AE-` ZI 28
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Property Owner:
Owner Address:
State: = Zip Code:
Zip Code:
City:
Home Phone:EE _w s k E2 els s a .121'm I
Owners Authorized Agent �.afaTl lll7ithl€ !?' _-n-:`Fa ¢,e Work Phone:
Agent Address:1. "r�,` �?aziSditem.. = city: ?:t?t"vu`
State: � Zip Code:
Agent Email Address: 1,,T4r .
Escrow Company: ra ifetE }ta ... '" eme€1t; isfvl . r nl: ru..>. i Escrow #: 4# 9 5 7F E ,H
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State: CSA ...
Zip Code.
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Escrow Phone: ” 9?f ,7Z(L� f `4 ; SN",
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Email Report to:
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For Inspection call (Name) _..; _ r_..• . , e. „ ; ; Direct Phone:
CONSENT TO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040 .................. Make checks payable to CITY OF NEWPORT BEACH
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