HomeMy WebLinkAbout838 ROMA VALLEY DR - MISCELLANEOUS - 1/1/2000Go yixs•LoD
t
DATE:
TO:
FROM:
SUBJECT:
SOUTH FORT COLLINS
Sanitation District
//-9
CITY OF FORT COLLINS BUILDING INSPECTIONS DEPARTMENT
FORT COLLINS-LOVELAND WATER DISTRICT
SOUTH FORT COLLINS SANITATION DISTRICT
WATER AND SEWER APPROVAL
THIS IS TO VERIFY THAT
/Z C'
(APPLICANT' S)NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR
(SUBDIVISION NAME)
( UILDING 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:
❑ 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 DIST CT/DISTRICTS: FCLWD/SFCSD
1
SIGNED: ��,��G.✓ ����
PLEASE RETUM TO FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE
r
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669-4321
FAX (303) 226.0186