2011_1215T H C - C I T Y O F
cOPPELL
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METER ISSUANCE / WORK ORDER
Date: /ci Company/Representative: Dlkid 4%",4LZ A
Account Number.
Project Name: 11 L 2
Location of Meter. 1/3 1
Billing Account Name: � c� �i i � t�/,P GIr� �r!'1 •l �
Billing Address: 3 3 01 JV �' 3 r City: �uiid! /�n state: %t' Zip Code: %5 %
Phone #: D.L. #: l7:0 2A01
Printed Name: 'T 4 0c 1f- l'Y �.0 •FZ Signature:
Domestic Mtr. 4 'i
Size:
Reading
Domestic Mtr. #
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Reading
Irrigation Mtr. 9
Size:
Reading
Irrigation Mir. 4
Size:
Reading
Fire Line Mtr. 4
Size:
Reading
Fire Line Mtr. #
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Reading
Temporary Mtr- ;9
Beginning Reading
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt.
TEMPORARY METERS• $1 000 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 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. be
Customer is not allowed to move or relocate a meter to different jobs/projects. Only yellow City Fire Hydrants may e
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 fast 1,000 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 5'h of each month. if payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
-9 %3 a-0
Water Tap $� tic Sewer Tap $ -5 0 Meter $ /'? Final Inspection $ Sa