HomeMy WebLinkAbout2907 Skimmerhorn St - Miscellaneous - 02/26/1998GotiyINS L0L
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I SOUTH FORT COLLINS
Sanitation District
DATE: 2 -e3�- 5�L
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
(APPLICA 'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR" R-
(SUBDIVIS ON NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER X)/4 SEWER
(MARK APPROPRIATE BOX)
C) WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
C3 SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAYBE 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 DISTRI 'T/DISTRICTS: (J
SIGNED: Ct
PLEASE RETU O FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F & F �/ �Z. _ aI �G 9Y
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226.3104-669-469-4321