2014_0203Date.". 2.3 2b 14—
Project Name: jax
L
LL
ocation of Mat- -n 00 E
Billing Account Name:
Billing Address:
Printed Name:
Dame-stic Mtr.
Domestic Mtr, 4
OLD
Irrigaiion Mtr. # i 0 1 PG
Ift iggaatian Mtr. g 115 22
Fire Line Mtr. t
Fire Line Mtr. 4
Temporary Mtr. #
T K E C F T Y D F
COFFELL
r
e � 4
IYETER ISSUANCE I WORK ORDER
Campany/Represeatative:
A
Cty:
D.L. ':
Signature:
Size: Reading
Size: Reading
Account N=btrn
State: Zip Code:
Size: 11 Reading 7
Size: N Reading 102.3
Size: Reading
Size: Reading
Beginning Reading
Deposit Amt
Deposit Amt
Deposit Amt-
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt-
TEMPORARY METERS: $1 ODD DEPOSIT REDUIRED
Applicant shall rut= meter to 816 S. Coppell Road when completed with project Cost of any repairs or
urn
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 Hydras 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 1,0D0 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 5m of each month. If payment is not received by this
date, tbere will be a penalty of 10% accessed to the total balance.
Water Tap $ Sewer Tap $ Meter $ Final Inspection $