HomeMy WebLinkAboutR2023-0197 - PermitsPrint Form -1 City of Newport Beach RECEIVEi) aV
COMMUNITY
COMMUNITY DEVELOPMENT DEPARTMENT [)FVFt0PMFNI
BUILDING DIVISION
100 Civic Canter Drive I P.O, Box 17681 Newport Beach, CA9265M1892023
r 2oL$ 7,0101 www.newportbeachca,gov 1 (949) 644-3200
CITY C)F
Application for Report of Residential Building RecorWORTBEACH
A _ lication Fee; - $202,00
(For All Residential Buildings) Applications with insufficient fee payment
Reinspection Fee $134.00 or incomplete will be returned
Please tvpe or orint and complete all informa
# of Units: Address: 269 Haver f i e ld,, # 1 5 4 City: [Newport Beach State CA illy, 9 2 6 6 0
CONSENT TO INSPECT FORM MUST BE SICyNED $e DATED BELOW .
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