HomeMy WebLinkAbout915 PINNACLE PL - MISCELLANEOUS - 1/1/2000S,IRS-
RT
Sanitation District
8 DIS
DATE: , / / f
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
(APPLICANT;$ NAME)
HAS APPLIED FOR A WATER AND/OR SEWER TAP FOR
SUBDIVI ON 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:
❑ SEWER TAP FEE HAS NOT BEEN PAID; F & F PERMIT ONLY:
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
FCLWD/SFCSD
NAME OF DISTRICTPISTRICTS:
SIGNED:
PLEASE RETURN FORT COLLINS BUILDING INSPECTIONS DEPARTMENT FOR BUILDING
PERMIT.
F&F
STRUCTURE
4700 South College Avenue
Fort Collins, Colorado 80525
Telephone 226-3104 - 669-4321
FAX (303) 226-0186