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HomeMy WebLinkAbout636 Lupine Dr - Permits/Single Family New - 06/09/1993DEVELOPMENT SERVICES/BUILDING PERMITS & INSPECTIONS DIVISION P.O. BOX 580, FORT COLLINS, CO 80522-0580 221-6769 ttve rt n BUILDING PERN'T JOB SITE ADDRESS 636 LUPINE DR r Permit Type 2 BUILDING Iji Proposed Use SINGLE FAMILY DWELLING Subdivision PUD Subdivision/PUD w MEADOWS AT REDWOOD J Lot 91od 7 Last First CAMPION ZAddress o e1824 E. DOUGLAS JANSMA IQ Address pc 5608 O Zp SOS37 CONSTRUCTION 3 Occopsnt Loop No. of Dvrelling Units No. of O 1 Z O Text: NEW SFR STOCK PLAN PENDING o 1 1 97014-15-007 M.I. RUSSELL i J FORT COLL Phone No. 490-4657 Convector License No. D-235 City LOVELAND Sales Tax. b69-7bT6 occupancy Sepeonke, 0931431 /A / v U I " .]TINE 9, 1993 Asa conditi n fdf the issuance of a permit, 1 hereby declare that I am an owner or the ow is agent, authorized to perform the proposed work on the property describe herein. 1 agree to comply with all the requirements contained herein, and C' ordinances, and State laws associated with such work.I understand that smwh permit may be revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced, suspended, abandoned, or not inspected within 180 day l from the date of Such netntit. le Family Detached /FINAL ACCOUNT PLAN CHECK FEE BLDG PERMIT WITH PARKLAND FEE CITY SALES USE TA STREET OVERSIZING STORM DRAINAGE ELECTRIC UNDERGRO WATER PIF SEWER PIF TOTAL FEES DEPARTMENT ENGINEERING WATER SERVICES LESS TURN A ROb WATER A SEWER LIGHT A POWER STREET OVERSIZE PLAN CHECK 48000 �1 l]G`113Y9t9 48.00 930518 369,90 625.00 720.00 584.00 1172,73 354.00 2157,04 1600.00 7 LEFT SITE SETBACKS REAR 48.1 4 FRONT 7321 538-4 2 7 CALL 221-6769 TO SCHEDULE INSPECTIONS (See reverse side for Inspection Description) 7630.67 5BF WTR FDR SW UGLGP RP RE RM FNP OptionsFp FNB FNM FNE SPI PASSED 930608-'--UER.VICE ALL ELECTRICAL DBASE MIT PASSED 930527 MecWCOACHT K&D PASSED 92OS24 PASSED 930519 PASSED 930608 Rlo "ttt°`TGEfi ASSOCIATES INC