HomeMy WebLinkAbout19-8-7HARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: �-as /�' Permit Number:
**Property Address:
**Buyer's Names:
Buyer's Signatures:
Billing Address:
Telephone No.:
Aj
**Seller's Names:�� �gi1q�
Seller's Signatures:
C�
Joint Owner Signature: �sllc,+v�eS '1) 5f)� rU
**Escrow Company: friloqVI Ycro LO Phone# 7/ y-- 2-0 y -- 7 606
**Address S00 S, Kraw,ff 6lvrl4t3"D l;rea, Cti, y2$ZJ
**Escrow Number: 3e3 R - J ( **Fax #: 7/ y -76 y -q y'�/�
Closing Date (Estimate): $-3 - l q Email: rte Ile 6) f"i lour .,( BSc,- ; C
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
----------------------------------------------
Inspection Date: Reinspection Date:
Fee Paid: Che k No:
Application Complete: Cz�
Harbor Reso ces Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
INSPECTION FORM
Harbor Resources Department
Date: —7 Wc7
Inspection Requested By:
Inspector:
L
Pier Address:
'Pier Transfer
_- --' GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
Operational
Comments / Observations
Other Request
Reinspection
Yes Need None Needed Yes Need
I Om
awl ', I �011
Yes No
71'i• 553R0�