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2012_1128ProjDct Name: Locatian of Nreter. Billing Account Ne Billing Address: COPPELL e l�—IER 13 SU A_NCE / W vR_K ORDER CorapavV!RB?r s,tatativer. .kc:AiZnt N=bt City: State: Zip Code: Phone Tr: ( ) M g D.L. r: Printed Name: C ?Ad kLu ,� d„Q Simia ure: OL- L1 314 Reading —� Deposit Amt Domestic It'ftr. ri Size: DoWtjs Mfr. n U Size: 3 " Reading Deposit Amt Irrigation Mtr. # Irrigation Mtr. 9 Fire Line Mtr. # Fire Line Mtr. it Ste; Reading Deposit Amt Size: Reading Deposit Amt Size: Reading Deposit Amt Size: Rmding Deposit Amt Temporary Mtr. 4 Beginning Reading Deposit Amt TEMPORARY METERS: S l 00D DEPOSIT REQUIRED Applicant shall return the meter to 916 S. Coppell Road when completed with project Cost of any repairs or replacements nec;e:ss:ary shall be billed on the final statement or deducted from the deposit Applicant is responsible for winterizing all temporary construction meters and camponertrs to protect them against any Liam ae due to freezing temperatures. CustomeT is not allowed to move or relocate a meter to different jobsfprojects. 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 S2 -60 per 1,000 gallons. (Minimum charges are subject to change.) Monthly payment is due by the 56 of each month. If payment is not received by this date, there will b>e a penalty of 10% accessed to the total balance. Water Tap S Sewer Tap S Meter S fn , 00 Final Inspection S