HomeMy WebLinkAbout25-03-12 Completed Application and InspectionINti7PE(OTION FORM
Public Works
Date: 12/2,5
Inspection Requested By: L136 q e �,:suQW
Inspector: _j (V)
Pier Address:
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
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Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
Docus,gn Envelope ID: F7AA3843-86D2.4D8D-BO27-A2ti2W5E318C
**Date of Application:
*Property Address:
HARBOR PERMIT
TRr,,1,\TSFER :1PPLIC.11T1ON
1 UU Civic Conker Drive
Ncicvporl hesich, CA 92660
949-644-3044
>)IlII /oz!;
1130 b%'. DAY AVENU
**Buyer's Names: JOSEPH SEDRAK AND SILVIA SEDRAK
Buyer's Signatures:
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Billing Address: 1130 W Bay Ave Ng 92G::-
Telephone No.: 214-803-76988
"Seller's Names:
Seller's Signatures:
Joint Ov ner Signature:
**Escrow Company:
**Address
**Escrow Number:
**Closing Date (Estimate):
%IARC TH0%1AS
LIGHTHOUSE ESCROW Phone# 949-313-7834
2355 MAIN STREET SUITE 130 IRVINE CA
29011-DH
4/11/2025 **Email: DANYLLE@LIGHTHOUSEESCROW.COM
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: ► v -? r
Fee Paid:��
Application Complete: !1
Reinspection Date -
Check No- O )j 3 7 (7,
�i 0z/2-s
Public Works Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
Docu3+gn Envelope ID:D925LA45F-85774E31-8418•ED9CBE778783
HARBOR PLRMIT
MA NSTER APPLI CiI TION
-" 100 Civic Center I]rive
Newport Keach, CA 92660
949-644-3044
**Date of Application:`�I Zl? 7`7
**Property Address: 1130 W. BAY AVENUE
"Buyer's Names: JOSEPH SEDRAK AND SILVIA SEDRAK
Buyer's Signatures:
Billing Address. -
Telephone No.: 214-aQ3-7698
"Seller's Names:
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: LIGHTHOUSE ESCROW
Phone# 949-313-7834
**Address 2355 MAIN STREET SUITE 130 IRVINE CA
**Escrow Number: 29011-DH
"Closing Date (Estimate): 4/11/2025 **Email: DANYLLE@LIGHTHOUSEESCROW.COM
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 3112 /2 S
Fee Paid: % 32 h
Application Complete:
Reinspection Date:
Check No: o 0 53 7�D
3 /12/z s
Works Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.