HomeMy WebLinkAbout19-9-18 Signed AppDocuSign Envelope to: 39652C29-1924-4C39-9E65,1272448D9A48
P o
HARBOR PERMIT
TRANSFER APPLICAHON
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
**Date of Applicaton: 8/1512019 Permit Number: ---------,—
"Property Address:..3905 Marcus AvNewkqLt Beach cA 9Zk6_3
"Buyer's Names: Dominic Tucci and Elizabeth Tucci
8/14/2019 1 3:28:14 Pm PDT
. .....
Buyer's Signatures: 03
8/14/2019 1 3:30:22 PM PDT
Billing Address: 13074, Newport Beach C; 92659-0304
Telephone No.: 949-632-2269
"Seller's Names:
Seller's Signatures:
20
ftu
Joint Owner Signature: C7 -tqi
I
"Escrow Company: ..qrar,&cqoqAt41t_pany �� c 2'. P h o n e 714 --- 24 A= 77 2 7
_ .
"Address 1551 N. Tustin .L_Syitt_V0�_ SatLtzk &-ax-SA..W"L
"Escrow Number: 2026708 "Fax 714-864-3095
Closing Date (Estimate): jftLjZZ0j%---gr!jail: lorif@octitle.com and jijadbin@robbevans. com
*STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date: 914,5l[l (9-- Reinspection Date�
Fee Paid: 101'7q
A- Check No:
Application Complete:- -6UL
Nerrbar Resources sigrletorel0ate
Speciai Conditions:This permit is revocable by the City Couocit
io accordance with Titte 17 of the Newport Beach Municipal Code
INSPECTION FORM
Harbor Resources Department
Date: �� I
Inspection Requested By: i99
Inspector: 6 —
Pier Address:
/ Pier Transfer
GFI Present
Anti -Siphon / Backflow Present
15106 W_)arrrCis
Ye NI I
Reinspection
Yes Need
Other Comments
Pump Out Pier Location ct-ad- "
Yes No
Operational
Comments / Observations
Other Request
c►-,r <s
C)/18,j101 100.yw�
l 1q.�l 1 e!5'-Io +c�y
N
N
1
I
O
N
00
-
W
3
u
rn
O
U
Q
Q
N
C
N
a
ci
z
R
U:
V
W
N
D
Z
o
G
_
LL
6�-
LL