HomeMy WebLinkAbout1162 Belleview Dr - Applications/Water and or Sewer - 12/27/1996i�iTsr
?U4CI�ASE^n: RAYLINE DEVELOPMENT
M,RILfN6 ADDRESS: 4712 �ESTBURY DRIVE Cl . CO 80526
SERVICE ADDRESS: 1162 BELLEVIEW DR L5 WESTBURY 2ND
APPLICATICN FOR TAP PURCHASE
WATER TAP: FORT COLLiNS-LOVELAND WATER DISTRICT
DATE: 12/27/96
APPLICATION 4: 00002421�00
BUSINESS PHONE: 593-4254
HOME PHONE: 204-0306
TAP SIZE TAP CLASS # OF TAPS # OF D'nELLING UNITS
3I4 INCH RESIDENTIAL SF 1 I
UNITS PER UNIT TOTAL
RAN WATER REQUIREMENT (RWR) 1 $2,150.00 f2,15i1,00
PLANT INVESTMENT FEE (PIF) 1 S'2,500.00 £2.5.'•Q.CO
INEiA(LATION FEE 1 s75.00 i"'•`"
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,ECEiPT PNM--- -'1 - - �-------DATE----------------5Y-- ----'--------------------- GRAND TOTAL $4. 72'.0'7
--------------------------------------------------------- ----
SEWER TAP: SOUTH FORT COLLINS SANITATION DISTRICT
UNITS PER UNIT
PLANT INVESTMENT FEE (PIF) 1 $1,925.00
INSTu.LLATION FEE 1 $0.00
INSPECr1ON FEE 1 010.00
RECEIPT NUM- Eo J-/ ----------
DATE
COMMENTS-
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TOT:;L
£0.00
:`0.00
--- GRAND TOTAL $1.975.00
INSPECTIONS ARE REQUIRED ON WATER AND SEWER SERVICES PRIOR TO METER INSTALLATION. ALLOW TWO WEEKS FOR TAP INSTALLATION.
i�z RECEIVED BY - -=--------------- ¢----------
TPA ------------------------------- SET UP ---------------------------------
REVIEWED:
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APPROVED: DISTRICT MANAGER---- ----lzff-e
------------------------------------BILLING ACCOUNT #-------------------
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