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2. Business Name
4. Billing Address
6. Contact Name/Phone #
8. Location of Project/Meter Set
10. Fire Hydrant Meter User Agreement
    Please be advised that a user charge of $50.00 per month will be added to the bill of all users of fire hydrant meters associated with the City of Anna water system. This charge is added because the City incurs expense of approximately $1,000.00 per fire hydrant meter unit purchased and installed. The $50.00 per month surcharge is intended to partially reimburse the City for this expense. By signature below the user of the City of Anna fire hydrant meter agrees to pay the $50.00 per month user charge, which will be added to the normal retail use billing each month during the period of use.
12. First Name
13. Last Name
15. Email Address
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17. 1. Receive an email copy of this form.
18. Email address

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