HomeMy WebLinkAbout602 Jansen Dr - Correspondence/Water and or Sewer - 06/27/2001adz
u FORT COLLINS•LOVELAND WATER 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 THAT
S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR
0
i�a Q A a k lz�-1 -
( DIIiG 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:
U SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
❑ WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT 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 ]�JSTRICT/DISngCTS: f CLWD/SFCSD
SIGNED:
PLEASE RETURN TO FORT COLLINS BUILDINg INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE
5150 Snead Drive Fort Collins, CO 80525 Phone (970)226.3104 Fax (970)226.0186