HomeMy WebLinkAbout812 Rumford Dr - Miscellaneous - 02/13/1998Gotiy1Ns.zo
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w a SOUTH FORT COLLIN
y tio� Sanitation District
DIS�4
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
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR
(SUBDIVISION NAME)
(BUILD(BUILDr66 ADDRESS) iT r
DLO NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER SEWER
(MARK APPROPRIATE BOX)
❑ WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAYBE ISSUED:
❑ 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:
FCLWD/SFCSD
PLEASE RETetN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F & F
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104-669.4321
FAX (3
___ FAX (30q) 226.0186