HomeMy WebLinkAbout643 PARLIAMENT CT - MISCELLANEOUS - 5/14/1996a� otiylxs-ZuG�9
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SOUTH FORT COLLINS
8 DI5
Sanitation District
DATE:
TO: CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FROM: FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
SUBJECT: WATER AND SEWER APPROVAL
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THIS IS TO VERIFY THAT
(APPLICANT'S NAME-)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR G+>
(SUB VISION NAME)
(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:
❑ SEWER TAP FEE HAS BEEN PAID; BUILDING PERMIT MAY BE 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 DISTRICT/D[STRICTS: FCLWD/SFCSD
SIGNED:
PLEASE RETURN -TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE
4700 South College Avenue L p FortCollins,
Telephone 226-3104 - 669-4321 �we
FAX (303) 226-0186