HomeMy WebLinkAbout2. Temporary Water Meter - Owner Authorization (Form B)
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2023.doc
AUTHORIZATION FOR
TEMPORARY WATER METER
AND
BILLING ACCOUNT ACKNOWLEDGMENT
This acknowledgment hereby authorizes _________________________________________
(AGENT/CONTRACTOR)
to act as the agent/contractor for the purpose of obtaining a temporary meter for use on a hydrant
or other approved appurtenance on behalf of the Owner of Subject Property shown below.
The owner of Subject Property is_____________________________________________________
**(OWNER OF SUBJECT PROPERTY)
and guarantees the payment of all the charges resulting from the use of this meter.
OWNER OF SUBJECT PROPERTY
Your initials and signature are required for the following acknowledgement:
A Temporary Meter Billing Account will be opened and refunded to the responsible billing
party as it appears on the Temporary Water Meter Request Application (Form A). The
temporary meter billing account will be applied the following billing rates and charges for 4”
or greater; MONTHLY MWD & CWA FIXED SYSTEM CHARGES, ENERGY CHARGES, POTABLE TEMPORARY AND
CONSTRUCTION WATER RATES OR RECYCLED TEMPORARY AND CONSTRUCTION WATER RATES, TEMPORARY METER
INSTALL & REMOVAL, ANNUAL BACKFLOW TESTING, AND BACKFLOW REPAIRS.
Code Of Ordinances - Section(s): 25, 31, Appendix A
______________________________________________
**(OWNER OF SUBJECT PROPERTY)
OWNER OF SUBJECT PROPERTY
Attach one of the following:
Photo copy of a picture ID
Notarized acknowledgement form
** If subject property is owned by a Corporation or Government Agency such is to be signed by the Project Manager
of that Corporation or Government Agency.
Otay Water District, Public Services Division
2554 Sweetwater Springs Blvd
Spring Valley, CA 91978-2004