Construction Water Meter Application

2. <b> Please fill out and submit the following form to request a construction water meter. </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.
   
   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.
   
   

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

41. This section is office use only:
    <br> Employee name <br> Meter number <br> Total deposit <br> Start date <br> Start read <br> Return date <br> Final read <br> <br> __ MPPW contractor __ Private contractor <br> __ Place meter __ Keep deposit __ Return deposit

    
    Employee name
    Meter number
    Total deposit
    Start date
    Start read
    Return date
    Final read
    
    __ MPPW contractor __ Private contractor
    __ Place meter __ Keep deposit __ Return deposit

Leave This Blank:


43. Submit Submit and Print

* indicates a required field