HomeMy WebLinkAbout6900 Rumford Pl - Miscellaneous - 06/01/1998GOtiLINs
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DATE: -7 - / - 99
SOUTH FORT COLLINS
Sanitation District
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 4dd,,Z�
(APPLICANT'S AME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR c�
(SUBDIVISION- NAME)-
�,e
(BU LDIN ADDRESS)
(LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
r-
i WATER SEWER
(M7RKAROPRIATEBOX)
TER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
CL' 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
SIGNED:
Xo cn
PLEASE RETURN -TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
r�
STRUCTURE1,L7% J
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