HomeMy WebLinkAbout6101 PHILLIPS DR - MISCELLANEOUS - 11/16/1995 (2)a� otiLtxs
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DATE: C_5
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 I ;
(APPLICANT'S NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FORr�ir.�,/7��
(sLfiBbfVISION NAME)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
WATER `' SEWER
(MARK APPROPRIATE BOX)
❑ WATER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
❑ SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE ISSUED:
WATER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
Q--SEIVER TAP FEE HAS NOT BEEN PAID; F & F PEKi 41T ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT�DISTRICTS: FCLWD/SFCSD
SIGNED: C�
PLEASE RETU FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F & F
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226.3104 - 669-469-4321
FAX (303) 226-0186