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CITY OF FORT COLLINS, COLORADO
WATER & SEWER UTILITY
PERMIT FOR WATER AND SEWER SERVICE
Sara sruAswi
it, +) Coury '3` u' ku. It. Collins %0 41G ?•i.
Address of Owner
N/A
DoomWon of Pmpeny
64;A6 W . Prosp4ct
Address Of Property
C.wvelrt fiat r h—M toL 9irs?tevt,�t
Use
WIA Sewer A ILI/4/87.
Lot Ana ROO Cry Date
Amount
Fees
Wdw UN' Metered 502-43101
N/C
WaterT�iole and wtir�ials to bs Li ic, 502-42140
Seww UIF 503-43101
Saver Tep 503-42141
Wdw Right 502-43102
Saniddott Di*kA 503-23204
Seww Repay 503-23204
Wdsr PAP" 502-23ZX
4otwc4nt: /A jai. Suic;;ar je; %fj TOTAL
14
tt is urdardood that before any work Is begun, this bin must be paid in fun toft Fk Depatum t
(ISEE ORD. 81, 1975). Taps must be adNated wftHn 120 days of vsndaUon date In acoordence wish Ad-
nrlAiossoe Poncy A.d.
APPROVED:
of
1
Whit - F09 Yenow - Owner Bkos - My Wing
Green - Water Utility Pink - Building Dept.
No 12AR
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