Full Text
Form WU0002 (revised 4/2005) PERMIT FOR HYDRANT CONNECTION-2012 CITY OF MIDDLETON 7426 Hubbard Ave. Middleton, WI 53562 608/821-8370 608/827-1080 fax Those wishing to draw water from a hydrant shall request a permit from the Utility and agree to pay all fees and abide by all conditions of the permit as outlined herein. Hydrant connections will be limited to single or double ¾ inch hose bib valve. Damaged or lost equipment will be repaired at customer's expense. Water will be metered and billed at current rates. Service charge up to 7 days $35.00 Over 7 days add $12.25 (Billed at $1.79/1,000 gal.) $ TOTAL date paid LOCATION DATE SET DATE REMOVED WATER CONSUMPTION Finish Read Start Read Total MATERIALS USED APPLICANT ADDRESS BILLING ADDRESS (if different) SIGNATURE SIGN