2013_0219T H = - C F T Y 6 F
COFFELL
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b,fE�ER ISSUANCE / WORK ORDER
Date: ,; - / i - / 3 Cornpauy/Representative: :�5� ° -
Account Number:
Froje.RtName: 11 / S rf7-
Gs'ts�`�
Reading
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Location of Meter: 10 ;
Reading
Fire Line Mtr. :4
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B illiag Account Name: V""
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Reading
Billing Addzress:g31(1 -o t-,F- 7 -G;Zuh
"k '366,
City.
State: �_ Zip Code:
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D.L. 9:
73""o�
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Signature:
,� �"
-�rintedj_Name:
Domestic Mtr. ri
Size:
r
Reading
Deposit Amt
Domestic Mtr.
Size:
Reading
Deposit Amt
Irrigation Mtr. 4 45 a� �5
`
size: �_
Reading
Irrigafioa Mtr. 4
Size:
Reading
Fire Line Mtr. :4
Size:
Reading
Fire Line Mtr. 4
Size:
Reading
Temporary Mtr. f,
Beginning Reading
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt_
TETYTORARY METERS: $1 000 DEP'0SIT REQLJ —D
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 winterizing all temporary construction meters and components to protect them against any
damage due to freezing temperatures.
to different j
Customer is not allowed to move, or relocate a meter olrsfprojecfs. _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.
ipt The current, minimum monthly wafer bill shall be $48.40, which
The City will deposit the $1,000 upon rece
includes the first 1,000 gallons used. All water in excess of 1,040 gallons will be $2.60 per 1,000 gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 5m of each raonth. 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 $