2012_0718T K C, - C ! T Y O F
Account Number
COPP ELL .
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METER ISSUANCE /WORK ORDER
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Date: Aft 16 2otZ Company/Representative: C J to i/Omr-5 1��t4
Project Name: U1 L1, A5 A i ZAkE V 5TA
Locabon of Meier. S 3 3, 0>3 Vf-8gl SNDL15 Y "Z-L .
Billin Account Name- C1� -�%�z ��'�� _
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Billing Address: to �l�c� G%, sy� r���l1S City: , t �t 4-0C
State: X Zip Code: 7- 1-3
Phone #: (ZIy �1 iJzg.- -/ tr :� D.L. #:
PPrinted Name: 6 ,1, /� ! . / A:' A 7-,-- e---- Signature:
N -( Domestic Mtr. # g-
Domestic Mtr. :9 G1
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Mtr. #
Irrigation Mtr. #
Fire Line Mtn #
Fire Line Mtr. #
Temporary Mtr. #
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Deposit Amt _
Deposit Amt.
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
TEMPORARY METERS: $1,000 DEPOSIT REQUIFZED
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.
Customer is not allowed to move or relocate a meter to} ifferent jobs/projects. Only yellow City Fire Hydrants may be
used_ Customer must call 972.462 -5150 to report a reeding. 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 waxer bill shall be $48.40, which
includes the first 1,000 gallons used_ All wafer 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 5ffi of each month. If payment is not received by this
date, there will be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $ Meter $
F6e;
Final Inspection $