HomeMy WebLinkAbout24-10-30 Inspection & AppDate:
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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4 i n eoi C S� ( l 1
13,1 �l
211 F
Yep Need None Needed
Reinspection
Yes Need
HARBOR PERMIT
0-1
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f.r TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Application: 10, 15/2024
**Property Address: -' 1 1 E Edgewater Ave. Newport Beach. CA 92661
"*Buyer's Names: Mario Dicario and Rosemary Dicarlo
Buyer's Signatures:
Billing Address:
Telephone No.:
The Schnack Family Tnist dated June 20..1991 - Survivor's Tnut
**Seller's Names: The .Sflxiack Fanit ly Tgist da d June 20..1991 - Bypass Taut
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: Prominent Escrow Services, Inc. Phone# 949-255-9107
**Address 170 Newpo►l Center Drive. Suite 150. Newport Beach CA 92660
**Escrow Number: 06-15995-SR
"Closing Date (Estimate): I1,0s12024 **Email: teamsteph cpromiuentescrow.com
* *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
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Inspection Date: �'Y.301 Z`t Reinspection Date:
Fee Paid: '�21-I.00 Check No: U,
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.