HomeMy WebLinkAbout19-8-20 applicationHARBOR PERMIT
TRANSFER APPLICATION
100 Civic Center Drive
Newport Beach, CA 92660
949-644-3044
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**Date of Applicaton: Permit Number:
**Property Address: .9019 v i U 1,00 I Ord, NeW?j rt Pe&?, , CP, g2663
**Buyer's Names: Viv(zn Wndtv- Pal
Buyer's Signatures:
Billing Address:
Telephone No.:
**Seller's Names: Robert- Pr-D�",' v on (bekaif of To-er - pro Pwpe(N
Seller's Signatures:
Joint Owner Signature:
**Escrow Company: "v'ncr3 scrbw Phone# G41 i-4o-66go
**Address 2� N ✓t G*tt- Prl"6 42-0o 1 rvvT-))r,aaaa,Ov qAb�
**Escrow Number: 5000-SV-j **Fax#: 949-n-)-2363 _
Closing Date (Estimate): Email: JW-,�Yli n 0 wnUvine,+-sesc.,6v xo-,
_ *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS.
Inspection Date:
Fee Paid:
Application Complete:
Reinspection Date:
Check No:
Harbor Resources Signature/Date
Special Conditions: This permit is revocable by the City Council
in accordance with Title 17 of the Newport Beach Municipal Code.
PAV
INSPECTION FORM
Harbor Resources Department
Date:
Inspection Requested By:
Inspector:
Pier Address:
'bier Transfer
GFI Present
Anti -Siphon / Backflow Present
Other Comments
Pump Out
Pier Location
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Reinspection
Yes Need None Needed Yes Need
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Yes No
Operational
Comments / Observations
Other Request