2012_0904D F
CO FELL ic -- uat�T?tl- 7tJ°�i.
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7
b,[E ER ISSUANCE /WORK ORDER
gate: �� -�f ' f Carngany /Represeata ve �u t-er✓� �4t �Gl �✓�
Project Name: l� 3 G'� f'N G ✓aa�
Lo: atian of 2�eter. �-✓�
Billing A=Dunt Name: _ �cykl
r� p�L f tc- C a C' State- Tl ( Zip Code: % J �
Billing Address: ( ®d �. �--�1 � c �5'�
Phone : ( et ,/� %
printed amt: - ' ame: c _i 14k--YC izA a1J _ Signature: c
Domestic Mtr. " 004201 I t,P
Domestic Mtr. 4
Irr-igation Mtr. m
lrrimttoa Mtr.
Fire Line Mtr. #
Fire Line Mtr. #
Size t1 : 2 Reading 4
S ize: Reading
Size: Reading
Size: Reading
Size: Rein
Size: P Mding
Deposit Amt'
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt.
Deposit Amt
Temporary Mtr. -9 Besting Reading Deposit Amt-
TFNIPORARY METERS $I DDD DEPOSIT REQUIRED
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 statemevt or deducted from the deposit
Applicant is responsible for winterizing all temporary construction meters and componerrts to protect them against any
damage due to freezing tEmperahrres.
Customer is not allowed to move or relocate a meter to different jobs /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 $1,000 upon receipt The current, minimum monthly water bill shall be $48.401 which
includes the first 1,0D0 gallons used. All water in excess of 1,000 gallons will be $2 -60 per 1000 gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 50' of each month. If payment is not reveived by this
date, there will be a penalty of 1 D °!o accessed to the total balance.
Water Tap $ �0-61v- Sewer Tap S �6 PP Meter $ �A q5 Final Inspection $ a5-