MM slash DD slash YYYY
Name(Required)
Billing Address(Required)
Hydrant Type(Required)
Street and town or city
Clear Signature

Applicant will be responsible for the security and protection of Portland Water District property. It is the responsiblity of the customer to adapt their application to fit the connections provided on the Hydrant Meter Assemblies.

Winter Hydrant Meter Use

It is the responsiblity of the applicant to protect the hydrant meter and hydrant, including keeping it from freezing. The applicant will be fully liable for any damage to the equipment or infrastructure of the Portland Water District.

Clear Signature
MM slash DD slash YYYY
(must be scheduled at least two days in advance)
MM slash DD slash YYYY
Purpose of Use(Required)