HomeMy WebLinkAbout2050 International Blvd - Permits/Mobile Home - 01/21/2004Community Planning & Environmental Services
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' Building & Inspections Division
Box 580 281 N. College Ave.
Fort Collins, CO 80522-0580
City of Fort Collins phone (970) 221-6760 Fax (970) 224-6134
JOB SITE ADDRESS 2050 INTERNATIONAL BLVD 203
PERMIT TYPE PEF
MOBHOM Mobile Home Installation
Last Name, First, Middle Initial
K
Z Address City/State
32050 INTERNATIONALVD FORT COLLINS,t
O Zip Phone No.
80524
493-6885
Front Setback
Rear Setback
_Z
Right Side Setback Left Side Setback
Z
Plat File No. ZBA Case Number Zoning District
Subdivision/PLID
Filing
a
wLot
Block
Lot Area
Parcel No.
J
�y
1JNo.
V
Company Name
Contractor License
City/State
Phone
ce
Mechanical
License No.
H
F
Roofing
License No.
Z
Framing
License No.
V
Plumbing
License No.
Vi
Concrete
License No.
INSTALL MOBILE HOME ON EXISTING SITE # lB oZl�3
8
W
BUILDING PERMIT
Building Valuation
B0400318 ACCOUNT
PERMIT DATE (
lJ 1 /G -I /200i- JUi ld,llly Pe Im,iI Yid JUbS
LEVEL I CATEGORY TYPE
ISSU_FUL I Res
Construction Type I Occupancy Group
p No. of Stories Building Height
V
Building Square Footage I Stock Plan/Options
(See reverse side for Inspection Description)
C� LhE
As a condition for the issuance of a permit, I hereby declare that I am an owner or the owner's agent, authorized to perform the proposed work on the property
described herein. I agree to comply with all City ordinances, and State laws associated with such work. I understand that such permit may be revoked in the
event that issuance was based on incorrect or incomplete information. This permit shall become null and void if the work authorized by such permit is not
comment , suspended, a ndoned or inspected within 180 days from the date of such permit or from the date of the last inspection.
Print name of owner/agent Signature Date
TOTAL FEES
FEE DATE PAID
Pif /L Ir014