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214- J -7V- ✓ f W T K C F T Y 6 F
Accoant hTurnber.
COFFELL
Aft AL
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1�-17ER ISSUANCE / WORK. ORDER
Date: �. ' I — % Company/Representative:
Proje. -t Name- Ll 4L -fE S rf- T G f 5/� / /�S%� ��� S� � -
L.ocatian of Met- -n S �� /`' A17
B illing Account n ame: 0--Al x-
Billing Ad—dress'v� GP3S Gr�Ll, City: State: mil_ Zip Code:
(Phone , : (y�-� 1 q'
Z t%X� 6eT 31 Z- D.L. 9: Zv 7 U
Printed dame: �iGG 7- W Hi Tw�'�- Signature:
Domestic NItr. __,
Size: _
Reading
Domestic Mtr. #
Size:
Reading
Irrigation Mtr. # 7
Size: `��
Reading
Irrigation Mtr. #
Size:
Reading
Fire Line Mtr. 4 Size: Reading
Fire Line Mtr. 9 Size: Reading
Temporary Mtr, 9
Beginning Reading
Deposit Amt.
Deposit Amt.
Deposit Amt_
Deposit Amt.
Deposit Amt
Deposit Amt.
Deposit Amt_
TENIgORARY METERS• $1 ODD DEPOSIT RE(?UIRED
Applicant shall return the meter to 816 S. Coppell Road when completed 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 w=interizing all temporary cons€zuction 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 ja _O
bsfprajects. -nly 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.
ipt The current, minimum monthly water bill shall be $48.40, which
The City will deposit the $1,000 upon rece
includes the first 1,OD0 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 5ffi 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 $