Fire Hydrant Lease Application

2. Valley View Municipal Complex is located at 333 Valley View Lane, Irving Texas, 75061
   <p fr-original-style="" style="margin: 0px 0px 1.4em; border: 0px currentColor; border-image: none; color: rgb(63, 63, 63); box-sizing: inherit;">Appointments are scheduled during the hours of 9:00 a.m. to 4:00 p.m. by calling (972) 721-2281.</p>

   Appointments are scheduled during the hours of 9:00 a.m. to 4:00 p.m. by calling (972) 721-2281.

4. Total Payment Due $1600 (Deposit $1500 and a Nonrefundable Application Fee $100)
   Payments may be made by Check, Credit Card (Visa or Mastercard only), eCheck, or Phone. Payments made online and over the phone require an account to be setup prior to payment being made. Checks should be made payable to the City of Irving.

   Payments may be made by Check, Credit Card (Visa or Mastercard only), eCheck, or Phone. Payments made online and over the phone require an account to be setup prior to payment being made. Checks should be made payable to the City of Irving.
6. Company/Customer Name*
8. Address*
9. City*
11. State*
12. Zip*
14. Billing Address*
15. City*
17. State*
18. Zip*
20. Authorized Agent, Partner or Owner*
22. Phone Number*
23. Secondary Phone Number*
24. Fax
26. Driver's License Number*
27. Expiration Date *
    Example: 12/31/2026
28. Issued State*
30. Company Tax ID Number
34. ON-SITE CONTACT
36. Name*
37. Email*
39. Phone Number*
40. Emergency Phone Number*
42. Proposed Use*
44. Proposed Location In Irving*
46. Additional Comments:
48. READ THE FOLLOWING INSTRUCTIONS AND SIGN AT THE BOTTOM THAT YOU AGREE TO THE TERMS OF THE LEASE.
50. I understand it is mandatory that between the 20th and 25th of each month the City of Irving receives the meter reading by one of the following methods: Voicemail (972) 721-2108, Fax (972) 721-3767 or Email at wtrbill@cityofirving.org.

    I understand it is mandatory that between the 20th and 25th of each month the City of Irving receives the meter reading by one of the following methods: Voicemail (972) 721-2108, Fax (972) 721-3767 or Email at wtrbill@cityofirving.org.
52. I understand any meter reading received before the 20th or after the 25th of the month will not be accepted. The fee for failing to provide a monthly reading is $125.00

    I understand any meter reading received before the 20th or after the 25th of the month will not be accepted. The fee for failing to provide a monthly reading is $125.00
54. I understand that the meter is to be brought to the Valley View Municipal Complex, 333 Valley View Lane, Irving, Texas 75061, every three (3) months for a physical reading and quarterly inspection by city personnel. These may be submitted by email to wtrbill@cityofirving.org and require two pictures: one of the entire meter and one of the reading. The fee for failing to provide a quarterly reading $175.00.

    I understand that the meter is to be brought to the Valley View Municipal Complex, 333 Valley View Lane, Irving, Texas 75061, every three (3) months for a physical reading and quarterly inspection by city personnel. These may be submitted by email to wtrbill@cityofirving.org and require two pictures: one of the entire meter and one of the reading. The fee for failing to provide a quarterly reading $175.00.
56. I understand that this lease expires twelve (12) months from the Account Setup Date and must be returned at that time. If the fire hydrant meter is needed longer, a new application must be submitted along with a new deposit and fee. A new fire hydrant meter will be issued.

    I understand that this lease expires twelve (12) months from the Account Setup Date and must be returned at that time. If the fire hydrant meter is needed longer, a new application must be submitted along with a new deposit and fee. A new fire hydrant meter will be issued.
58. I understand that utility accounts and deposits will only be refunded in the name on the account. Utility deposits will be refunded upon disconnection of service, after the final bill has been applied to the account.

    I understand that utility accounts and deposits will only be refunded in the name on the account. Utility deposits will be refunded upon disconnection of service, after the final bill has been applied to the account.
60. I understand that I will receive a FIRE HYDRANT CONSTRUCTION METER and STAND in good working condition. I understand that the Water Utilities Department will inspect the fire hydrant meter upon return and any repairs to the FIRE HYDRANT METER or replacement of the STAND will be paid by the customer. The stand must be retuned with the meter. The missing stand fee is $80.00.

    I understand that I will receive a FIRE HYDRANT CONSTRUCTION METER and STAND in good working condition. I understand that the Water Utilities Department will inspect the fire hydrant meter upon return and any repairs to the FIRE HYDRANT METER or replacement of the STAND will be paid by the customer. The stand must be retuned with the meter. The missing stand fee is $80.00.
62. Electronic Signature*
    An original signature is required when the fire hydrant meter and stand are issued.
63. Today's Date*
65. <p fr-original-style="" style="margin: 0px 0px 1.4em; border: 0px currentColor; border-image: none; color: rgb(63, 63, 63); box-sizing: inherit;">Appointments may be made during the hours of 9:00 a.m. to 4:00 p.m. by calling (972) 721-2281.</p>

    Appointments may be made during the hours of 9:00 a.m. to 4:00 p.m. by calling (972) 721-2281.

69. This section is for office use only.
71. Issued Date
72. Method of Payment (include check number)
73. Issued By (COI Staff)
75. Meter Number
76. Begin Reading
77. enQuesta Account Number
81. This section is for office use only.
83. Return Date
84. End Reading
85. Returned Received by (COI Staff)
87. Stand Returned
88. Fire Hydrant Meter Returned in Good Condition?
Leave This Blank:


90. 1. Receive an email copy of this form.
91. Email address

    This field is not part of the form submission.

92. Submit Submit and Print

* indicates a required field