Construction Water Meter Application

2. <b> Applicant is responsible for picking up and returning water meter to: City of Menlo Park Corporation Yard 333 Burgess Drive, Menlo Park, CA 94025. </b> <br><br> The applicant is responsible for the loss of or damage to the water meter and associated equipment. Additionally, the applicant is responsible for any damage to Menlo Park Municipal Water infrastructure that may arise due to the misuse of equipment. <br> <br> Contact Minol at 844-463-6567 to remit deposit and to answer any other billing questions. <br><br> Please fill out and submit the following form to request a construction water meter:

   Applicant is responsible for picking up and returning water meter to: City of Menlo Park Corporation Yard 333 Burgess Drive, Menlo Park, CA 94025.
   
   The applicant is responsible for the loss of or damage to the water meter and associated equipment. Additionally, the applicant is responsible for any damage to Menlo Park Municipal Water infrastructure that may arise due to the misuse of equipment.
   
   Contact Minol at 844-463-6567 to remit deposit and to answer any other billing questions.
   
   Please fill out and submit the following form to request a construction water meter:

4. Date
   Date

6. First name

7. Last name

9. Address1

11. Address2

13. City

14. State

15. Zip

17. Company Representative's Name

18. Company Representative's Email

20. Company Representative's Phone

22. Phone number

23. Email address

25. Billing address

27. City

28. State

29. Zip

31. Location of service (major cross street)

33. Location of proposed hydrant

35. Please select:*

    1. Deposit payment $3,000 ---- Meter, valve assembly, and stand

37. Water Meter*

    1. Applicant is responsible for loss or damage to water meters due to misuse of equipment

39. Applicant is responsible for picking up and returning water meter to:
    City of Menlo Park Corporation Yard, 333 Burgess Drive, Menlo Park, CA 94025.

    City of Menlo Park Corporation Yard, 333 Burgess Drive, Menlo Park, CA 94025.

43. This section is office use only:
    <br> Employee name <br> Meter number <br> Total deposit <br> Deposit check # <br> Pick up date <br> Start read <br> Return date <br> Final read <br> <br> __ Email Global Form __Applicant Copy __Return Deposit __MPPW Contractor <br> __Mail Global Form ___MPWD Copy __Keep Deposit __Private Contractor

    
    Employee name
    Meter number
    Total deposit
    Deposit check #
    Pick up date
    Start read
    Return date
    Final read
    
    __ Email Global Form __Applicant Copy __Return Deposit __MPPW Contractor
    __Mail Global Form ___MPWD Copy __Keep Deposit __Private Contractor

Leave This Blank:


44. Submit Submit and Print

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