2011_0211Date:
Project Name:
Location of Meter.
T K C - C i T Y O F
COPPELL
T 4
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d A B t
Account Number.
METER ISSUANCE J WORK ORDER
Corn any7-71G��// esentative:
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Billing Account Name: //2//
Billing AddressS �'�� z' " �� CriY State Zip Code:
Phone #: �l J D.L.
Printed Name: - l =� Signature:
Domestic Mtr. # / �( 7 ^ t
Domestic Mtr. #
Irrigation Mtr. #
Irrigation Mtr. #
Fire Line Mtr. #
Fire Line Mtr. #
Temporary Mtr. #
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Size: / Reading
Size: Reading
Size: Reading
Size: Reading
Size:
Size:
Reading
M=
Beginning Reading
Deposit Amt ti
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
TEMPORARY METERS: $1 000 DEPOSIT REOULRED
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 pr -Dtect them against any
damage due to freezing temperatures.
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 $48.40, which
includes the first 1,000 gallons used - All water in excess of 1,000 gallons will be $2 -60 per 1,000 gallons. (Minimum
charges are subjo t to change.) Monthly payment is due by the 51h of each month. If payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
00 OO "73 VC) Water Tap $ -S-0 Sewer Tap $ J�. Meter $ // / Final Inspection $ -TO