HomeMy WebLinkAboutPortableWaterMeterRentalApplication
Iowa City Water Division
319-356-5160
Fax 319-356-5167
PORTABLE WATER METER RENTAL
Application Date_______________________________________________________
Applicant’s Name______________________________________________________
Applicant’s Address_____________________________________________________
Applicant’s email address________________________________________________
Customer Account Number________________ Phone Number__________________
$35.00 Nonrefundable Rental Fee Paid______
Meter Number__________________
Begin Read____________________ End Read____________ Usage___________
Date Meter to be returned_______________________ (30 day maximum)
METER MUST BE RETURNED BETWEEN 7:30 AM AND 4:30 PM
MONDAY THROUGH FRIDAY EXCEPTING HOLIDAYS
_________________________ _________________________
Applicant’s Signature Meter Check-Out Date
Return the Portable Meter Kit to the Water Division within 30 days to initiate the sewer bill credit,
Meter kit must be protected from damage or freezing. If the meter is damaged, the customer will be
charged for the cost of the meter and/or the cost of repairs. Damage to the meter kit will also void the
wastewater credit.