2012_0420T H C C l T Y P
Account Numbe-, .
COFFELL
T �
e � a
d A 6
METER ISsuANCE WORK ORDER u
Date: ``t - IZ 0 -� Companyaepmsentative:
Project Name'. S l'7 i-ile.LS ?1 _yt E
Location of Meter. Pry
Billing Account Name: St a2 >~ � CtA S�n ] A -�r�
'A E 4c! ! 5 V t �.-t. � State: TX Zip Code: -75D-5-7
Bil. ag Address:34S A— b City
R7Z 343 2018 D.L. #: 1130 ZZ
Phone #: (
Printed Name: �io B t t.1 J� 1•� Signature:
Domestic Mtr. # . Size: Reading eposit it Amt
Ste: Reading Deposit Amt
Domestic Mtr. #
Irrigation I ROn LkAU b r
Irrigation I
Fire Line
Fire Line
Temporary
Reading
Reading
Reading
Reading
Reading
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
TEMPOR�
Applica �aad when comgletDd with project_ Cost of any repairs or
rep�I neat or deducted from the deposit.
Applica :)nstructiDn meters and components to protect them against any
damage ..., w u w�ug LGIllperaA]reS.
Customer is not allowed to move or relocate a meter to different jobs/projetts. Only yellow City Fire Hydrants may be-
use
d Customer must ca11972 -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 rceipt The current, minimum monthly water bill shall be $48.40, which
e
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 56' 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 $ 2 •-TU Final inspection $