HomeMy WebLinkAbout6214 Tilden St - Correspondence - 03/05/2004s.e. Ti,.w>
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FORT COLL NS•LOVELAND WATER DISTRICT _�^ SOUTH FORT COLLINS SANITATION DISTRICT
DATE:
TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT
FROM: FORT COLLINS - LOVELAND WATER DIST T
RE: O 1
SEWER APPROVAL 40338
THIS IS TO VERIFY THAT
(APPLICANT'S NAME) .l
HAS APPLIED FOR A WATER AND SEWER TAP FOR wlv_-cI,, asej
(SUBDIVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
✓/ SEWER
(MARK APPROPRIATE BOX)
C WATER TAP TO BE PURCHASED FROM THE CITY OF FORT COLLINS.
SEWER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
ALL -AP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT / DISTRICTS:
SIGNED:
PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS
DEPARTMENT FOR BUILDING PERMIT.
I� STRUCTURE
PRESSURE REGULATING VALVE REQUIRED
rS
5150 Snead Drive Fort Collins, CO 80525 Phone (970)226.3104 Fax (970)226.0186