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HomeMy WebLinkAbout25-03-17 Complete App & Inspection4{.1Y f'rjh ' HARBOR PERMIT TRANSFER APPLICATION 100 Civic Center Drive �! �N......, Newport Beach, CA 92660 949.6444M "Date ot Application: CA "Property Address;_I�' ita t� .. CA •'Buyer's Names:.. Buyeee Signatures: Billing Address: r�,Li,arl,j;-«� Telephone No.: q,4a " **sense* Names: + i•tt iCi'' L y,,,,,,,,_r„_,,, Sekar's Signatures:. T 1U& jV " Ar t. 6. CA • u(.7-10In 3 Joint Owner Signature: _ "Escrow Company: V'k • t 71honeft q QQ ."Atldmse� t ����i G't'it I i �"Q4 R 70 J6 "Escrow Numhar;,r,,l , "Closing Date (Formata}z-A'iP tW. Gz,�l.pQfa�eaiikAesy'�w-un- ' STARRED ITE44S Mt1ST_BE COMPLETE TO QEGiIN THE PROCESS._. tasPoWen Date; 3/17/2,5 itemspection Date: Fes PaW:- 32 0o Check No: 6a'I 9b _ Application Complete::a -_7 Podfn: Works Sr@nerdraiDate M eaadaCneo wah flf1s tarwin®nrewp,er eaaci,�Mrmiupsl Code. INSPECTION FORM Public Works ®ate: Inspection Requested By: 60m Cates Inspector: J M Pier Address: ha6ALBI N e �. Plortransfer �vm,.�.�..�,�,...s.� -- - - RefnsjiectfOn GFI Present Yes _Need None Needed Yes Need Anti -Siphon / Backfiow Present Other comments Comments / Observations Other Request