HomeMy WebLinkAboutR2022-0071 - Permit ApplicationCity of Newport Beach COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT DEVELOPMENT
BUILDING DIVISION
160 Civ JEB 14 2022
civic Center Drive I P.O. Box 1769 1 Newport Beach, CA 92658�89
RBR#: wwW.n6wportbqachca.gov 1 (94g)644-,3100 CITVnr
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Owner Address:
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Work Phone. R 9401
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Agent Email Address;
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Escrow Qompany; 11-G Escrow #: 1,11,10,44
Escrow Address:
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Email Report to:
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For Inspection call (Name)Direct Phone::
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CONSENTTO INSPECT (FORM MUST BE SIGNED AND DATED BELOW
Account # 01050504-521040..._._.......... Make checks payable to CITY OF NEWPORT BEACH
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