HomeMy WebLinkAbout22-3-9 Signed app & pymtOIc,,-e � E�c)u-D March K Dod-�
AARBORPERAUT
TRANSFER APPLICATION
I.Q0LOVI.0 CoAter Drive
NeWpDrt-Reach, CA 92600
9145441-304
**Date of Appitcatort- I- pert hit N UM. ber;
**Propdrfy.Address .
820 Via Uuu Nor u
Uilling-Address-.. Newport gacty, ca n6d
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�tu Phonek
*Address'
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ITEMS MUST tilw COMAL ATE TO
B-EG.lN THE RR0C-E$S
ItIspectionDatte: ROMS900060D.ate.,
Fee PaU. (V aq6 — Check'NO'.
Appll�Uon Complete:
Harbor resources, Sign6jtureloate
Special Conditions::This permit is revocable by the City. CoLgidl
in, accordance with Tide 17 oftho Nagrpatt Beach Maricip6j Code,
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INSPECTION FORM
Public Works
Date: 31 '1 [aa
Inspection Requested By: L
Inspector: L
Pier Address: 02.6 V L j
Pier Transfer
Reinspection
GFI Present Yes eed None Needed Yes Need
Anti -Siphon / Backfiow Present
Other Comments
Comments / Observations
Other Request
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