New Construction Meter Application

New Construction Meter Application

CITY OF WAXAHACHIE
APPLICATION FOR NEW CONSTRUCTION METER
Please read carefully before submitting.
IMPORTANT: WATER ONLY IS CHARGED DURING THE CONSTRUCTION PHASE. ONCE THE CERTIFICATE OF OCCUPANCY HAS BEEN ISSUED; ALL WATER, SEWER, AND GARBAGE CHARGES WILL BE ADDED. A DEPOSIT OF $156.00 WILL BE BILLED ON YOUR FIRST STATEMENT AND WILL BE REFUNDED ONCE YOU SUBMIT A DISCONNECT SERVICE REQUEST IN WRITING TO THE WATER BILLING DEPARTMENT AND IF NO DAMAGE IS DONE TO THE METER ASSEMBLY. ANY AND ALL DAMAGES TO THE CITY METER ASSEMBLY WILL BE CHARGED TO THE CONTRACTOR THAT IS LISTED ON THIS APPLICATION.

Edit Form

PERMIT #:*

SUBDIVISION NAME:*

ADDRESS FOR NEW METER:*

BLOCK #:*

LOT #:*

TAX I.D. #:*

IS THIS NEW METER GOING TO BE USED FOR: (PLEASE CHECK ONE)*

RESIDENTIAL

COMMERCIAL

INDUSTRIAL

APARTMENT

INSTITUTIONAL

IRRIGATION

HAS THE TAP BEEN LOCATED FOR METER INSTALLATION:

SIZE OF METER REQUESTED:*

REQUESTER NAME:*

BUILDER OR COMPANY NAME:*

MAILING ADDRESS:*

CITY:*

STATE:*

ZIPCODE:*

OFFICE NUMBER:*

CELL NUMBER:*

CONTACT NAME*

CONTACT PHONE NUMBER*

***METER BOX IS TO REMAIN ON THE METER AND STAY VISIBLE AT ALL TIMES! FAILURE COULD RESULT IN A TAMPERING FEE AND/OR RESET FEE. ****

CITY USE ONLY BELOW

METER NUMBER:

LOCATION:

MATERIALS USED:

BOOK:

PAGE:

ACCOUNT NUMBER:

TYPE:

READ:

INSTALL DATE:

ZONE:

NUMBER OF UNITS:

INSTALLED BY:

IS THIS ACCOUNT LINKED TO ANOTHER ACCOUNT:

YES

NO