Hydrant Meter Permit Hydrant Meter Permit Name* Phone*Date MM slash DD slash YYYY Mailing Address* Project Exclusively for CHWD project? Mark here if meter is being used exclusively for CHWD project. Email Address IS HEREBY AUTHORIZED TO WITHDRAW AND USE WATER FROM A FIRE HYDRANT LOCATED AT: SUBJECT TO THE FOLLOWING TERMS AND CONDITIONS: Only an approved spanner wrench shall be used to operate any fire hydrant. Any other type of wrench is strictly forbidden. Fire hydrants must be opened and closed slowly with an approved fire hydrant wrench. Please call CHWD @ (916) 725-6873 if you have any questions or concerns. Fire hydrant water meter will be attached to selected hydrant by lock and chain. Upon request, District personnel may move the meter to a different hydrant at the sole discretion of the District. Call the District @ (916) 725-6873 for removal of the meter and closure of the construction water meter account. The permit must, at all times, be carried in the vehicle drawing water for inspection by the Water Purveyor, Fire Department, Sheriff or Police Department. The permittee shall, by acceptance and use of this permit, be responsible for any damage to a fire hydrant, fire hydrant meter or appurtenances, as a result of the use herein authorized, shall be held responsible for the costs of its repairs, and agree to pay such costs as the amount thereof is authorized. CHARGES WILL BE BASED UPON THE FOLLOWING:SCHEDULE D Deposit: Deposit of $2,231.47 is due for each meter required Construction Meter Use: $556.98 Bi-monthly service charge Plus $4.05 / unit (1 unit = 100 cubic feet): TERMS: Fire Hydrant Water Meter to be installed within 3 business days of receiving the deposit. TOTAL DEPOSIT CHARGEMeter Number Date Installed Beginning Read Meter Number Date Removed Ending Read Contractor/Firm Name Water Purveyor Contractor/Representative Signature District Representative EmailThis field is for validation purposes and should be left unchanged. Δ SIGN UP FOR ONLINE BILL PAY TODAY! GO PAPERLESS NOW
