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2019 Rockport Ct - Permits - 11/18/2004
Community Planning & Environmental Services Building & Inspections Division BUILDING PERMIT! PERMIT FEES P.O. Box 580 281 N. College Ave. Building valuation Fort Collins, CO 80522-0580 �'tyof� o Phone (970) 221-6760 Fax (970) 224-6134 60406952 JOB SITE A©DRESS gal9 ROCKPORr c- PERMIT DATE 1 1 82004 Plan Check Fee Last Name, First, Micicite Initial Construction Type Occupancy Group City Sales/Use tax w Address Clt /State Y p No. of Stories Building Height ZIP -_ - Phone No. Building Square Footage I Stock Plan/Options Right Side Setback Left Side Setback Zn Plat File No. I� ZBA Case Number Zoning District (See reverse side for Inspection DescriF RP RN GL J Subdivision/PUD Filing a IN FNB FNE Lot Block Lot Area Parcel No. 0 FNP FNM SPI D C P F R FP Company Name Contractor License No. tO- VAddress t`m,icen.e RE License No. License No. BASEMENT FINISH TO INCLUDE 2 BEDROOMS, BATH AND MAIN ROOM HOMEOWNER AFFIDAVIT AND TEST ON FILE IN As a d5ndition 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 commenced, suspended, abandoned or inspected within 180 days from the date of such permit or from the date of the last inspection. Print name of owner/agent y5igr�ture Date .001 11/18