HomeMy WebLinkAbout6127 CARMICHAEL ST - CORRESPONDENCE - 2/19/2004IEW
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FORT COLA tiS•LOVELAND WATER DISTRICT -
v
DATE:
SOUTH FORT COLLINS SANITATION DISTRICT
TO: CITY OF FORT COLLINS BUILDING INISPECTIONS DEPARTMENT
FROM: FORT COLLINS - LOVELAND WATER DISTRICT
RE: SEWER APPROVAL
THIS IS TO VERIFY THAT
(APPLICANTS NAME)
HAS APPLIED FOR A WATER AND SEWER TAP FOR uj�sv �s
(1SUBDIIVISIO1N1 NA E)
(BUILDING ADDRESS) (LOT NUMBER)
THE FOLLOWING TAPS PERTAIN TO THE ABOVE MENTIONED ADDRESS:
l/ SEWER
(MARK APPROPRIATE BOX)
C
WATER TAP TO BE PURCHASED FROM THE CITY OF FORT COLLINS.
SEWER TAP FEE HAS BEEN PAID, BUILDING PERMIT MAY BE ISSUED.
ALL TAP FEES MUST BE PAID PRIOR TO ISSUING A STRUCTURE BUILDING PERMIT.
NAME OF DISTRICT / DISTRICTS: FCLWD / SFCSD
SIGNED: ,� 11 A. -'I It:&
PLEASE RETURN TO THE CITY OF FORT COLLINS BUILDING INSPECTIONS
DEPARTMENT FOR BUI ING PERMIT.
`STRUCTURE
F7 PRESSURE REGULATING VALVE REQUIRED
5150 Snead Drive Fort t:ollins, CO 80525 Phone (970)226.3104 Fax (970)226.0186