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CITY OF FORT COLLINS, COLORADO
WATER & SEWER UTILITY
PERMIT FOR WATER AND SEWER SERVICE
Riclurlond Ftonies No. Co.
3600 S. Yosemite 0500 Denver CO 80237
Address of Owner
Lot 14 Block 4 Golden Mmadw-m 4th flIIng
Description of Property
4342 Cape Cod Circle
Address of Property
S(ngle fam(ly without corm on areas
Use
Lot Area Rate
AI
Sewer A
Category
NQ 11731
5-234
%t�Rl!F1 g1U. JQ
TOTL 41..30. i4
f:NCK zli
092995 W156 A
S"
Date
Account
Fees
Water UIF 3/4 1nch
502-43101
$2,530.14
Water Tap
502-42140
Sewer UIF 4 Inch
503-43101
$1,600.00
Sewer Tap
503-42141
Water Right
502-43102
Sanitation District
503-23204
Sewer Repay
503-23204
Water Repay
502-23204
lotm:«nt: 239,423 gal. Surcharge: NO
TOTAL
$4,130.14
It is understood that before any work is begun, this bill must be paid in full to the Finance Department
(SEE ORD. 81, 1975). Taps must be activated within 120 days of validation date in accordance with Ad-
ministrative Policy A.d.
APPROVED:
(Applicant)
White - File Yellow - Owner Blue - Utility Billing
Green - Water Utility Pink - Building Dept,
Validation
I