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2009_0811
Date: g -11-V Project Name: T N i - C 1 T Y O F COPPELL Account Number. T p Cl METER ISSUANCE 1 WORK ORDER Company/Representative: Location of Meter 103 Wes} -Xr 4 e. weo 0, b . HC Billing Account Name: Oov+ck Weekl -y 4Lo LA'fw 30- c`'S-nr\ Billing Address: 33©1 M. 1-15 City: Larrod km State: T V Zip Code: 7 SO 0-7 cell Phone #: ( al q ) 'STS' (a b 70 D.L. #: 6J=E11fi i]) Printed Name: 7��' �t(�a+�s Signature: Dd.)SA RA� DI Mtr.# Vi-M409 ZU 414- G Mtr. #2c'3� Irrigation Mtr. # Fire Line Mtr. # Fire Line Mtr. # Size: Reading Size: Reading 20 Size: Reading 2 3 Size: Reading Size: Reading Size: Reading Deposit AmtL Deposit Amt M Deposit Amt. 5c) . CD Deposit Amt. Deposit Amt Deposit Amt. Temporary Mtr. # Beginning Reading Deposit Amt. TEMPORARY METERS: $1,000 DEPOSIT REOUIRED 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 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 subject to change.) Monthly payment is due by the 5'b 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 $ I J C - C Sewer Tap $ Meter Final Inspection $ 4'5r)q-l�