HomeMy WebLinkAbout6231 Buchanan St - Correspondence/Water and or Sewer - 04/05/1994SOUTH FORT COLLINS
rI AD
Sanitation District
DATE: Y l ----
i
T0: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
i
SUBJECT: WATER AND SEWER APPROVAL
-I - - - - - - - - - - - -�K- �b - - - - - - - - - - -
/X///II/
THIS IS TO VERIFY THAT __-- ------
(APPLICANT'S NAME)
i
HAS APPLIED FOR A WATER. AND/OR SEWER TAP FOR
(SUBDIV z e-0N NAME)
(BBUILDING ADDRESS) (LOT )
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
I
WATER SEWER
i(MARK APPROPRIATE BOX) 1�
j ATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED;
l
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;
i
;ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING
PERMIT. _
jj��
(i NAME OF DIST CT/DISTRSCTS:__ECIAN�///
e.ECC!;__.._____-_�_-__--
SIGNED:
j PLEASE RET TO FOR
COLLIiIS BUILDING INSPECTIONS DEPARTMENT FOR
BUILDING PERMIT
F & F _
STRUCTURE /t%?� S �qy
4700 South College Avenue �
Fort Collins, Colorado 60525�,�„,
Telephone 226.3104-669.4321
FAX (303) 226-0166