2014_0116Date: 1-16-14-
prqJ act Name: MIA
Location of Meter;
Billing Account Name:
B riling Address:
T K m - C t T Y 0 F
COFFELL
T 5
� b
ME 1 ER ISSUANCE / WORK ORDER
Company/Repmsentative:
k .
• • �• Y RM 91 I G`I
DomestlC Mtr.
Domestic Mtr. 4
0 LD,
irrZgation Mtr. 9 _ Z
Irrigation Mtr. # 78522 0
Fire Line Mtr. 4
Fire Line Mtr. 9
City:
State:
D.L. 9:
Signature: <
Size: Reading
Size: Reading
►1 1012-
Size: � Reading
Size:_ Reading 101'"1
Size: Reading
Size: Reading
Account Number.
Zip Code:
Deposit Amt
Deposit Amt.
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Temporary httr. 9 Beginning Reading Deposit Amt
TEMEORARY METERS• SLOW DEPOSIT REQUIRED
Applicant shall return the meter to 816 S. Coppell Road vrhea 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 wintmiz ag all temporary construction meters and components to protect them against any
dam ae due to freezing temperatures.
Customer is not allowed to move or relocate a meter to different jobsfprajects. _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 l,ODO 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, th5re will be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $
Meter $ Final lnspectim $
Me+er and w+t-: I_OoP -6f,!? .
U''� project. `�1 not �arge �-or r�plzceme, -ts per' Arelbno