2013_0516COP"'FELL
b�9-7 1 ER ISSUANCE / WORK ORDER
Account Number-
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'2-01 � Carngarry/Representative: FPM M R X41 @�iQ� -c LL L '
Project Flame: m cc h r '
Location of Meter
Ditls_ug AccountNlarrle:
Silting Address: i 6c> i 1 1� City: l ���11 �,-• State: �{_ dip Cade:
Phone 9: 57Z S S 8 &D 21A• 5 • g5'I2 D.L.
Printed 2dame- M' Al ADD h'� i Signature: ItA
DD e- cgtr. X423 i +12.
Domestic Mtr. 4 W45 %1V
Irrigation Mtr. 4
Irrigation Mtr- #
I'
Size: 5 Reading OqVA. 2
Size: 1 Reading
Size: Reading
Size: Reading
Fire Line Mtr. 41 Size: Reading
Fire Line Mtr. 4
Temporary Mtr. #
Size: Reading
Beginning Reading
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
Deposit Amt
TEN P'ORARY METERS• $1 DDD DEPOSIT REQUIRED
Applicant shall return the meter to 816 S. Coppell RD ad 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 w=interizing all temporary cons�.ictian 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 jobsfprojects. _Only yellow City Fire FlydrarrtS 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 wafer bill shall be $48.40, which
includes the first I,ODO gallons used. All water in excess of 1,OD0 gallons will be $2.60 per I,ODD gallons. (Minimum
charges are subject to change.) Monthly payment is due by the 5`h of each month. If payment is not received by this
date, there will be, a penalty of 1O% accessed to the total balance.
Water Tap $ Sewer Tap $
Ov* fp" 019 `1 '�Dm 5/3 X 1/4- Er ft*'
fit& li I4e A*. NJ" okl--.
Meter $ • 25
-fD 1 " rrtir.
Final Inspection $