2012_1129T K E C I T Y O F
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MEN 13SUANCE / WORK ORDER
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Lo:ation of Deter.
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B iliing Account 1N ame:
Billing Address: 1.2= %%0 eO,'7- 9W P—L9U2 City: State: Zip Code: 7525
Phone r: ()- /L �?f / - /--5 7 f D.L.
Printer carne: �R1� / �'
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Domestic Mtr. 2- M
Domestic Mtr. 4
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irritation Mtr. tt
Fire Line Mtr. 4
Fire Line Mtr. #
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Size:
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Reading D Deposit Amt
Reading Deposit Amt
Reading Deposit Amt
Reading Deposit Amt
Reading
Deposit Amt.
Deposit Amt
Temporary Mtr. 9 Bung Reading Deposit Amt
TENTORARY METERS: $1 ODD DEPOSIT REOUIRED
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 conSlrnctzon 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 jabs/prajeat. 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 $1,000 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,M gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 5`' of each raunth. If payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
Water Tag $ Sewer Tap $ Meter $ Final Inspection $