HomeMy WebLinkAbout20142324.tiff ., .�, _;.;TAN L. BEST
1169001 i 12437 HWY 392
CRS:LEY , CC, 80C1
Prea.Read Cn:n.Read Usage Ural 3yPe Amount
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5.70
0S/26/2010 Payment tr 5 _ 70
06/ 23/2010 Paymente 10_ .10
r- t - ae_ 203 0
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Tr-rent Amount u 107.30
Total Due
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NORTH WELD COUNTY WATER DISTRICT ?.o Be,tih z %5CeJ*I UCLPAIE.!7-.a[, -. ;--x ,fr, ,,ac,e? Ar&A - ir+tp.rivircrNaore
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•• V r WELD CON. �r+
— J» s"1'; 1516.Hospital Boyd M r f`,.. c•-‘1:‘.
gs y reeky, Colorado , PERMIT No, I,ew :
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r• 3s v,t• t $r r,tcr 4 353-0540• '��F;
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APPliyp( n. or K, I ,-an Individual Sewage Disposal System ;a
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Owner � ii ,t • ra, .. » 1' Address .c ' � --*/.%7;:;.,::-.-. •
Direction tg4ite H ` s .r Rd. ., N_mi., E_mi., S_mi. W miy 4-^'r 515.,
Legal 4? Seclh,�g� ,lre, R(tENSubdiv Lot` ^', w
r De Pt? Abe • i/
No. Bedrooms Persons /l^•/L'— Perc. Rote {Avg. of 3) 9 Jilt tf A+
No. Baths nt•Plumbing '•J1J4af S- 4 4`
"CCTT'' Soil Type �+ .r .�
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Size of Lot
H2O Table Depth
H2O supply (if,wel) give ry pxb) /( q '�
. , Lot Grade L ,3p1 ', i „ •* q
New Home X Mobile Ij a Modular Add'n Requires Engineer Desig ^L't : r '
Type of,sewage isposat requested If es — reason � n`�i
Septic"tan�C j/ 'Privy �?ther Comments: ✓ fSeL r
r};° Installation Instructions: (Minimum Requirements) h..ii.,_;^t -;
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Septic- Tonic 7S'O`Y Gals, Absorption Trenches c? • t
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�~'d Other Seepage bed ad'Sr't%f.r
Speclol Instructions '$S 4G4 C
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This system will a onitr cted and''installeg iri accordance with the above specifications • )it
gording`individual;se}v optSosal systerps,,in ;Weld County, Colorado , ;r"V" yf , v
This permit shall expire o, '#h, some'time.ps..the building permit, or, if no building permit js ,, "tsw--
shall expire-120.:days oft . s issuance, if construction has not been commenced. '.''+1' � ' k
Date: ,//S/701. Owner: §a4��
A Applicant: . , . .[ _t A L .+3.v "
1 Wk
The plans and specifications as shown are approved pending payment of permit fee. y ,,
Date: !l/`�i /j
,1�' Sanitarian �, '
The above system inspect and found to comply plan and desc '
Systems Contractor. g.Qy' - F4Srf' Date: /O �4 r �r
reo� Y'S. ' 11 I i en
� Sanitarian: t
L L
t; ) A.r Ytia. F. f 6igmeer Renew t
(Dotal IS,fl,wturel ysY i.,5-- v°
Permit Fee: $ rJ ,sd..0i^,,, �r,I ,
Received by, ,a44.- Date: s
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