2013_0731Date:
7-3/- 13
Pro) Dct Name:
T K E - C t T Y - 6 F
FELL
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b,EEILEEc ISSUANCE / WORK ORDER
Cc)mpauy/Representative:
Account Number:
Location of Meter: 3 7
Billing Account name: 'rrA.
Billing Address: 3-71 Re y a.� L-K-- . Cam: Co aoe I Stye: TIC_ dip Code:
Phone 9: (q11) Y& 7 - f 7 y Z D.L. :
Printed Name: �; �. 1' -i-r�, I ( Signature:
Domestic Mtr. Size: Reading
Domestic Mtr. # Size: Reading
n
Irrigation mtr. 4 � (4 101 Size: -7 Reading
u
hrigation Mt. 4 ( Size: 2 Reading
Fire Line Mtr. t Size: Reading
Fire Line Mtr. # Size: Reading
Temporary Mtr. 9
Beginning Reading
Deposit Amt
Deposit Amt —
Deposit Amt
Deposit Asst _
Deposit Amt —
Deposit Amt —
Deposit Amt
TEMBORARY METERS' $1 ODD DEPOSIT REQUIRED
Applicant shall return the meter to 816 S. Coppell Road when completed with project Cost of any repairs or
replacements necessary shall be lulled on the final statement or deducted from the deposit
Applicant is responsible for winterizing all temporary canstr ction meters and components to protect them against any
damage due to freezing temperatures.
Customer is not allowed to move.or relocate a meter to different jabsfprojevts. _Only yellow City Fire Hydr–.ats may be
used_ Customer must call 972 -462 -5150 to report a reading. The City is not responsible for any stolen property under
any conditions.
The City will deposit the $1,000 upon receipt The current, minimum monthly water bill shall be $48.40, which
includes the first LODD gallons used.. All water is excess of 1,000 gallons will be $2.60 per 1,000 gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 5m of each month. If payment is not received by this
date, there vrU be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $
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Meter $ Final Inspection $
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