HomeMy WebLinkAbout6863 Kaslam Ct - Disclosures/Water and or Sewer - 05/06/1999RT COLLINS
Sanitation District
DATE:_ 41 - / /
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 /l . J'
(APPLICANT' NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR
�j �(SD&IVISIO�NNAM�E)�'g
d /I � ,mil /lam, ,
(BUILDING ADDRESS)
(LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER
(MARK APPROPRIATE BOX)
SEWER
WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
/ ✓EWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
O WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
Q 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 DISTRICT TRICTS: FCLWD/SFCSD
SIGNED: _ C�
PLEASE RETURN
PERMIT.
F&F
STRUCTURE
T COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 869-489-4321
FAX (303) 226-0186