HomeMy WebLinkAbout2919 Skimmerhorn St - Miscellaneous - 10/21/1996 (2)a�yyixs-Lo���
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DATE:
LIMM
Sanitation District
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
NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR �ti2aa�i
(SUBDIVISION NAME)
(BUILDING ADDRESS)
(LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER X SEWER
(MARK APPROPRIATE BOX)
p WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
C] SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
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 ISTRICTS:vf/
SIGNED: Zz,t�C, L�<r'�>°C_
PLEASE RETURN TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F & F ✓ �/G'- /c' :k /- ')(-
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669-4321
FAX (303) 226.0186