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> Additionally, it is recommended that customers contact the Corporation Yard in advance at 650-330-6780 to ensure the current availability of a hydrant water meter. <br><br> For billing related questions, please contact Fathom @ 650-330-0385. <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.
   
   Additionally, it is recommended that customers contact the Corporation Yard in advance at 650-330-6780 to ensure the current availability of a hydrant water meter.
   
   For billing related questions, please contact Fathom @ 650-330-0385.
   
   Please fill out and submit the following form to request a construction water meter:

4. Date
   Date

6. First name

7. Last name

9. Phone number

10. Email address

12. Billing address

14. City

15. State

16. Zip

18. Location of service (major cross street)

20. Location of proposed hydrant

22. Please select one:

    1. Deposit payment $2,500 ---- Meter only
    2. Deposit payment $3,000 ---- Meter, valve assembly, and stand

24. 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.

28. 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:


29. Submit Submit and Print

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