HomeMy WebLinkAbout403 Strasburg Dr - Miscellaneous - 01/01/2000 (2)GoyyIN -Lai
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9r�R DISS4�
MOM
Sanitation District
DATE:
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARn
28 46
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
� o HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR �t �( '�Q ` 0On )1:
5/03 STDA-o�, M` p�? (S IVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER J/
(MARK APPROPRIATE BOX)
SEWER
tr'WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
Pr -'SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
0 WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
0 SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT/DISTRICTS: FCLWD/SFCSD
PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE��
4700 South College Avenue O
Fort Collins, Colorado 80525
Telephone 228.3104 - 669-489.4321
FAX (303) 226.0186
Goy,j,INS -LpG
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SOUTH FORT COLLINS
Sanitation District
DATE:
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL.
THIS IS TO VERIFY I'HA"F4P'LI(ANT'S
NAME) 1 \
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR1c
(SUt DIVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
— �/ --- WATER SEWER
(MARK APPROPRIATE BOX)
(WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
SEWER TAP FEE HAS BEEN PAID; BI ITI.DING PERMIT MAY BE ISSUED:
❑ WATER TAP FEE HAS NOT BEEN PAID; F & F PERMiF ONLY:
❑ SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT/DISTRICTS:
SIGNED:_
FCLWD/SFCSD
PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE
4700 South College Avenue
Fort Collins. Colorado 80525 y 1
7
FAX (303) 226 0186
PURCHASER: d. JENSEN HOMES A DBA OF MELODY HMS
MAII.IHG- ADDRESS-:. 4828_ S- COLT EGF_ AVENUIi Cl CO. 8052i
SERVICE ADDRESS: 6927 WOODROW DR L121 RIDWD HLS2 PI
TAP SIZE
3/4 INCH
RAW WATER REQUIREMENT (RWR)
PLANT INVESTMENT FEE (PIP)
INSTALLATION FEE
APPLICATION FOR TAP PURCHASE
DATE: 05/27/99
APPLICATION- #: 00003& 400-
BUSINESS PHONE: 266-0338
HOME PHONE: 472-1385
WATER TAP: FORT COLLINS-LOVELAND WATER DISTRICT
TAP CLASS # OF TAPS # OF DWELLING UNITS
RESIDENTIAL SF 1 1
UNITS PER UNIT
1 $3,500.00
1 $2,500.00
1 $75.00
TOTAL
$3,500.00
$2,500.00
$75. 00
RECEIPT NUM ---a:/» ------ DATE ----- �u-BY--- ------------------- GRAND TOTAL
$6,075.00
SEWER TAP: SOUTH FORT COLLINS SANITATION DISTRICT
UNITS
PER UNIT
TOTAL
PLANT INVESTMENT FEE (PIF)
1
$2,225.00
$2,225.00
INSPECTION FEE
1
$50.00
$50.00
RECEIPT NUM- -� _\- --------DATE--`--
- 1 �)-BY--`1�-'�-�---------------------
GRAND TOTAL
$2,275.00
------------- _-:________________________----------
COtM7ENTYx`� �
--------------------------------------------------------------------------------------------------------------------------
--------------------------------------------_--___________:____�__
^— — — R-
—
qL,/
�-
______________________________________________________________________________________________________________________
INSPECTIONS ARE REQUIRED ON WATER AND SEWER SERVICES PRIOR TO METER INSTALLATION. ALLOW TWO WEEKS FOR TAP INSTALLATION
RECEIVEDBY-J
v--_�_I- ---------------
J__------ TPA -------------------------------
SET UP ------------------------------------
REVIEWED:
ACCOUNTING -
_44
--------------C
-------
ENGINEERING -------------------------
OPERATIONS -----------------------------
APPROVED: DISTRICT MANAGER--------------------------------------------- ------BILLING ACCOUNT #-- ----5`-----eo--
WATER PIT/STOP LOCATION:
W IN CURB YIN: S IN CURB YIN:
FACILITY CONDITION:
FACILITY TO GRADE:
SEWER MARKER LOCATION: