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1 .�. <br /> CITY OF TRACY <br /> ' DEVELOPMENT &ENGINEERING SERVICES <br /> TRACY <br /> CONSTRUCTION WATER METER PERMIT APPLICATION <br /> 'M—k1,:.x,1.: <br /> CUSTOMER NAME: <br /> BILLING ADDRESS: 74- �°% Sui 7� <br /> CONTACT PERSON: PHONE/PAGER#: f Ada d S_ f <br /> USE OF WATER: Lit ell "6e°sf!!/Cr/14✓1 HYDRANT LOCATION: <br /> (IF lOC4T/ON CN4lOEE,OES e6r X NonfrEaj <br /> WHERE WATER WILL BE USED: /�- VD '1GD /Td 'i� 5-3 26 <br /> OF <br /> ' DATES OF USE: FROM: 70' ( TO: <br /> - / FEES TO BE BILLED MONTHLY <br /> ' v <br /> METERED:(PSoDEPOSIT REQUIRJUD7 CHECK NUMBER: !/ C <br /> Acct#WTRMD j <br /> METER#: cJy1�1 DATE METER RETURNED: <br /> BEGINNING METER READ: ` 1 ENDING METER READ: <br /> Igallens W a•no <br /> LOAD COUNT #OF GALLONSILOAD #OF LOADS <br /> 90.00 PER DAY PERMIT FEE FOR METERED OR LOAD COUNT WATER <br /> (PERMIT FEE IS CHARGED FOR LENGTH OF TIME PERMIT IS VALID WHETHER WATER IS USED DAILY OR NOT, <br /> ' INCLUDING WEEKENDS AND HOLIDAYS PLUS COST OF WATER USED, A 15%ADMINISTRATIVE FEE IS DUE ON <br /> THE TOTAL BILL BALANCE <br /> BE SURE TO CALL IN LOAD COUNTS WEEKLY TO: <br /> DEVELOPMENT & ENGINEERING SERVICES <br /> 209-831.4430 <br /> IF A METER I$ NOT USED <br /> WINTER WATER RATES <br /> ' NOVEMBER 1ST-APRIL 30TH <br /> VARIABLE RATE BLOCK 1 .BLOCK 2 BLOCK 3 BOCK 4 BLOCK 5 <br /> COST PER UNIT" 0.85 6,95 1.05 1.15. D.50 <br /> CONSUMPTION RAN E UNITS 0.12 1378 20.191 192-10DOD OVER 10000' <br /> SUMMER WATER RATES <br /> MAY 1 ST•OCTOBER 31 ST <br /> ' VARIAB ERA TE BLOCK I BLOCK BLOCK BLOCK BLOCKS <br /> COST.PER UNIT" 085 0.95 1'.05 i.M1S 0.50 <br /> CONSUMP-1 KPN MANGE UNITS 0.18 i9-29 30^2B7 288-150 OVER 10000. <br /> Damage to or repalm required on meter Is the financial re9pon5ibifity of the customer <br /> ' ^•(One Unit=100 Cultic Feet or 748 Gallons) <br /> ' OYER <br /> wreV+,nclb permR imm..k ReMsed 10012009 <br />