2012_1127C*'OFFELL
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6
ME t ER ISSUANCE i W 0RK ORDER
Date: i' "21' 2 y(2 C. ompanyrRepresentative.
pmje`^t Name:
Location of Meter.
Billing Account Name:
Billing Address:
City:
State- Zip Code:
Phone r: D.L. 4:
/ c
Printed Name:
OLD u
Domestic Mtr. size: 3I4 Reading �l'2UIk. Deposit Amt
Nom•_ u Reading Deposit Amt
Domestic Mtr. i- Size:
Irrigation Mtr. it
Irrigation Mtr. 9
Fire Line Mtr. 4
Fire Line Mtr. rt
Temporary Mtr. 9
Size: Reading Deposit Amt
Size: Reading Deposit Amt
Ste: Reading Deposit Amt
Size: Reading Deposit Amt
Be� inning Reading Deposit Amt
TEMPORARY METERS• Sl DDO DEPOSIT REQUIRED
Applicant shall retrrn the meter to 816 S. Coppell Road when completed with project Cost of any repairs or
replacements necessary shall be billed on the final statement or de:duc: s from the deposit
Applicant is responsible for winterizing all temporary constr=&Fn 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 jobsiprojects. Daly 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,ODO gallons used. All water in excess of 1,000 gallons will be $2.60 per 1;000 gallons. (Minimum
charges are sub m
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 10% accessed to the total balance.
Water Tap S
Sewer Tap $ Me= S
'Do Nor z�--Ft�
Final Inspection S