HomeMy WebLinkAbout1016 E. Balboa - ApplicationINSPECTION FORM
Public Works
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Inspection Requested By:
Inspector: AN
Pier Address: I01 l 6-, RA-16CA
Pier Transfer
Reinspection
GFI Present Yes Need None Needed Yes Need
Anti -Siphon / Backflow Present
Other Comments
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Comments / Observations
Other Request
Date:
Inspection Requested By:
Inspector:
Pier Address:
Pier Transfer
INSPECTION FORM
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Comments / Observations
Other Request
Public Works
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Yes Need None Needed
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Reinspection
Yes Need
**Date of Application:
**Property Address:
**Buyer's Names:
Buyer's Signatures:
Billing Address:
HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
July 8, 2020
1016 E. Balboa Blvd
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Telephone No.:
**Seller's Names:
Seller's Signatures:
Joint Owner Signature:
and Sepideh Sara Monempour
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**Escrow Company: Palomares Ecrow phone# (909) 946-5694
**Address 1425 W. Foothill Blvd, Ste. 230, Upland, CA 91786
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**Escrow Number: 35419-DP
**Closing Date (Estimate): 07/10/2020 **Email: Douglas@PalomaresEscrow.com
*-*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 71Z2-ZO Reinspection Date: G 2 2d
Fee Paid: 20 Check No: 10 1 35 1
Application Complete:
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.