2012_0924E T Y C F
CFFL
e
P
S
ME ISSUANCE / WOR_K ORDER
Date: `-`, �--,;�I 2 .26 Q> cm ` -� r ri /AL�' A i
P-roj e-.t Name: V l G t- AS A r AS—,- l�i i
Location of Meter. 3 Z y Z z l /� iL i TVA y
ame:
BiIline Acconnt2�
Billing Address: City: L�
Phone r: �Jj'
Printed T: ame: ,L- i �-= I i �✓i� ice-
c \lDomestic
Domestic Mtr.
Fire Lin-- Mtr . 4,
Fire Line Mtr. 9
Temporary Mtr. #
(07O��j
D.L. :�-:
Signature:
Size:_ Reading U
Size: _ /. _ Reading C:
Reading
Size: _ I Reading 0
Size: Reading
Size: Reading
Being Reading
State: -J < Zip Code:
Deposit Amt 3U�`
Deposit Amt
3�`r
Deposit Amt
Deposit Amt
3 0"
Deposit Amt
Deposit Amt
Deposit Amt
T'EMgORARY METERS• $1.000 DEPOSIT REDUIRED
Applicant shall return the meter to 816 S. Coppell Road when completed with project Cost of any repairs or
replacements ne,essary shall be billed on the final statement or deducted from the deposit
Applicant is responsible for winterizing all temporary con_strvction 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 jobs/projDcts. 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 subject to change.) Monthly payment is due by the 5" of each month. If payment is not reveived by this
date, there will be a penalty of 10% accessed to the total balance.
Water Tag S Sewer Tap S Meter S Final lnspectim S