2013_0514C, F
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METIER ISSUAN CE / YORK ORDER
Date: 5 I Z�l Corngany/Representative: iiQ v7ml l-� WFs �A(eu
Proje. Name: VILLAS- AT LSE MY,+
Location of Meter
13 HHag Account Name:
13 ill.iag Address: tr City:
Phone g: ( ZIP) D.L.
Printed Name: I JUICE 40 674-E S Signature:
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Fire Line Mtr. 4t-
Fire Line Mtr. 9
Temporary Mtr. #
5 55� Size: t �
Size:
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State: X Zip Code:
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Reading
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Beginning Reading
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Deposit Amt
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Deposit Amt
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TEMPORARY MET -RS• S 1 0D0 DEPOSIT REQUIl_ED
Applicant shall return the meter to 816 S. Coppell Road when complef-,d with project Cost of any repairs or
replacements necessary shall be Billed on the final statement or deducted from the deposit
Applicant is responsible for wintm iziag all temporary cons action meters and components to protect them against any
damage due to f=zing temperatures.
Customer is not allowed to move, or relocate a meter to different jDbs /projects, _Only yellow City Fire Hydrants 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 $1,0D0 upon receipt The current, minimum monthly water bill shall be $48.40, which
includes the first 1,000 gallons used. All water in 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 5f' of each month. If payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $ Meter $ Final Inspection $