HomeMy WebLinkAbout6139 Carmichael St - Correspondence - 04/08/2004s �.
FORT C0LLINS•LOVELAND WATER DISTRICT V
DATE: 4I`?:W `T
SOUTH FORT COLLINS SANITATION DISTRICT
TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT
FROM: FORT COLLINS — LOVELAND WATER DISTRICT
RE: SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANTS
HAS APPLIED FOR A WATER AND SEWER TAP FOR L X-SAC ► tCLSe_
(SUBDIVISION NAME)
i r )nae l
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAP, S PE/RTAIN TO THE ABOVE MENTIONED ADDRESS:
V SEWER
(MARK APPROPRIATE BOX)
WATER TAP TO BE PURCHASED FROM THE CITY OF FORT COLLINS.
EWER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT / DISTRICTS: _ FCLWD / SFCSD
SIGNED:
PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS
DEPARTMENT FOR BUILDING PERMIT.
STRUCTURE
❑ PRESSURE REGULATING VALVE REQUIRED
5)50 Snead Drive Fort Collins. CO 80525 Phone (970)226.3104 Fax (970)226.0186