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Temporary Agricultural Irrigation Water Meter Application

  1. Temporary Agricultural Irrigation Water Meter Application
  2. Cross roads if no know address
  3. Please provide your email address as we will send a receipt of payment and any correspondence
  4. I understand that a deposit must be made before this application can be processed*
    *We will be contacting you to receipt in payment before the meter is connected*
  5. Installation Process:
    The installation of your meter will usually take a few days from the time of your meter purchase
  6. Hook Up Charge:

    $511.45 Includes meter, back flow rentals, & testing.

  7. Usage Rate:

    $2928.00 per million gallons

    $0.0219 per cubic foot

  8. Maximum Usage:
    120 Days
  9. Important Information - Please Read
    Applicant is responsible for loss or damage to meter or back flow equipment which includes freeze damage. The City does not provide a pressure reducing valve. To discontinue service, contact the City Shop at 360.293.1921. Temporary water use is the first service to be disconnected in the event of an emergency water shortage.
  10. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
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  12. This field is not part of the form submission.