Fire Hydrant/Construction Application Download Policy Bulletin No. 69-Fire Hydrant Meters Fire Hydrant/Construction ApplicationPlease enable JavaScript in your browser to complete this form.Are you applying for a Fire Hydrant or Construction account? *Fire HydrantConstructionDo you have a Tax ID? *YesNoTax ID #: *Drivers License #: *Company/Organization Name:Contact Name: *FirstLastService Address: *Apt, suite, etc:Phone Number: *Email:Requested Start Date: *Mailing Address: *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIs the address properly posted? *YesNoIs a frost free hydrant installed? *YesNoIf the answers above are both “yes,” a time set and signature will not be required. If either answer is “no,” a time set is required. A time set requires the customer to be present at the designated time to verify the location of the meter and to ensure no leaks are present. A signature will be required. Upon the driver’s arrival, if the address is not posted or a frost free hydrant is not installed, no meter will be set and a return trip fee will be charged and a time set will be required to set the meter.Fire Hydrant meters require a meter rental fee of $7/day plus water use.Meter Size Requested: *1 In. Connection3 In. ConnectionI have received a copy of Policy Bulletin No. 69 “Fire Hydrant Meters” which explains the conditions of use and costs. *I agreeTampering with the meter in any form will result in the forfeiture of deposit.Deposit Agreement *I have read and agree to the Deposit AgreementDate: *E-Signature: *Submit Return Home
