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..7TY OF GREELEY, COLORADO
EXHIBIT
APPLICATION FOR ❑WATER El SEWER SERVICE DATE ' �.�
LOT Bum( ADDITION
OUTSIDE CITY LIMITS - ieTd =`
County
SITE ADDRESS _
E. 8th St.
NAME OFOWNER(S) Douglas E. Coleman
ADDRESS OF OWNER 2434 E. Bth St . ?.0. Box 176,1 . Greeley, 80632•>j
It
SIZE OF TAP "' 0 SFD CI MULTI-FAMILY Q COMMERCIAL/INDUSTRIAL t:
rt:
USE OF TAP ') '•anc fnr ?nt a Inririctrinc ❑SUBJECT TO RAW WATERSURCHARG t
\Id J. r:CU uUXEJI
21 -n- investment fee for sewer based on
5/8" water tap from N. Weld Water Dist. 1 ,28$ CC
Labor and materials to drill tap only - 2
tacs 2 3162.53 each 325.06
state sales tax @ 3% @ $1 .24 each tap 2 48
t ::11 De at North Weld 'later Dist. to
4t- in hneder readings for Acct.
Total 141_554
IT IS UNDERSTOOD THAT E ANY
Y WORK IS BEGUN,THIS BILL MUST BE PAID IN FULL TO THE CRY OF GREELEY.
FO/p /
DIRECTOR OF FINANCE
"--c. KANT
WHITE/OFFICE COPY -'-, YELLOW/APPLICANTS COPY BUFF/WORK ORDER
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970181
Finance Department
1000 10th Street
f City
Greeley, Colorado 80631 CASH RECEIPT
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' eft It Eks BO.BGx1706 THE FIRST SECURITY BANK
GREELEYCC 60632 BRUSH,COLORADO 80723
�1+CONSI CTIESRD 1303)35s-11a 82-244-1070
c� DATE AMOUNT
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1 PAY :.IL t ono ��"e"'t-12 7/ • c S i /� / 5 5
TO THE T / //
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