2012_1105Praje„ t Name: %r
Location of Meter.
Billing Aaconnt Name.
Billing Address:
T m x C [ T Y O F
COFL
r c
� 4
hE 1 .R iSSLT ONCE i W OR_K ORDER n
�A L &4/� A v �0 e v -5 4 �;i)
Acc;�unt INIunber•.
CaIIIpaIIy;rRepI'eS @nt�ve:
i 3 s. 7-"P,[ 1,4 �
`f t _ City: / O L
Phone f: (2- It ) `- 2- 2-IT
—
Prmted Name: q I e ty I Simature:
Domestic Mtr. j" 4 7
Domestic Mtr. it
lrriation Mtr. n 4 1�p d "l3
Irrigation Mtr. f
Fire Line Mtr. #
Fire Line Mtr. #
Temporary Mtr. #
size:
2u
Size:
Size: k
Size:
Size:
Reading _LLZG=
Reading
Reading 2,
Reading
Reading
Size: Reading
Beeinning Reading
Z FA(C AA e6iJ I Z < <
state: 7- Zip Code: 7 5 -z 7 5�
Deposit Amt 30 CO
Deposit Amt
Deposit Amt-
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
TEMPORARY METERS• SI 0DO DEPOSTI' REQUIRED
Applicant shall return the meter to 916 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 msponsble for winterizing all temporary consttuddon meters and components to pmtect them against any
damage due to freezing
Customer is not allowed to move or relocate a meter to different jobsfpmjects. Only yellow City Fire I�ydrants may, be
used_ Customer must call 972 -x-62 -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 I,ODO gallons used. All water in excess of 1,000 gallons wiU be $2.60 per 1000 gallons. (Minimum
charges are subject to change) Monthly payment is due by the 5`' of each month. If payment is not received by this
date, there wiU be a penalty of 10% accessed to the total balance.
Water Tag S ��. �� Sewer Tap S 50• OD Meter S 4�2. Final Inspe-ation $ W
f 2M • M