Water Hydrant Rental Agreement

**PLEASE SPEAK TO STAFF AT PUBLIC WORKS ABOUT YOUR ACCOUNT STATUS BEFORE FILLING THIS FORM OUT.** Before a hydrant can be rented, we require a $200.00 deposit to be paid for these scenarios: 1) for all new customers; 2) current customers with delinquent accounts, whose delinquent bills must also be paid in full; and 3) current customers who haven’t rented a hydrant for 3 or more years. This deposit amount will be applied to your bill amount once the hydrant is returned. If the deposit paid is more than the bill amount, a refund will be issued from the Finance Department.

Water Hydrant Rental Rates:

Daily rental rate: $7.10 per day – 2023 rate. Water consumption cost: $2.18 per cc ft – 2023 rate. Late fee: $50.00 per day. Additional fees may be applied.
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Have you spoken to staff at Public Works today before filling out this form?
**PLEASE DO NOT FILL THIS FORM OUT BEFORE SPEAKING TO STAFF AT PUBLIC WORKS.** You can contact them at (509) 575-6154 during normal business hours.
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MM slash DD slash YYYY

CURRENT EXISTING CUSTOMER

If you are a current customer in our system, please select your business/customer name from this list. If your info is not there, fill out the required fields below and your info will be added for next time. Also, if your contact info on your last billing was incorrect, fill out the fields below to provide the correct info.
CUSTOMER NAME & ACCOUNT NUMBER(Required)
Please select your business name. By selecting this field and not filling out the info below for your account info you are saying that all of your contact info we have on file is current and accurate. If you need to update any of your info, please also fill out those fields below.
Applicant Name:(Required)
Person who is on site to rent hydrant.
Max. file size: 63 MB.
Please take a photo of your ID and attach here.

NEW CUSTOMER INFO

If you are a new customer without an existing account number, or if you are an existing customer and your account name and number aren’t on the list above, fill out the fields below. Your account will be added to the list above for next time.
NEW CUSTOMER – Organization/Company Name
Name of business, if applicable and if it’s different than the customer name.
Applicant Name:
Person who is on site to rent hydrant.
Enter your tax ID number, UBI number, or government issued ID number such as a driver’s license.
If it’s different than the applicant phone number provided above.
Entering your email will send you a copy of this form and your bill once the hydrant is returned and your account is billed.
Mailing Address:
Street Address:
If different from mailing address.
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Account number will be provided by City of Yakima staff if you don’t know it. Account numbers are 6 digits long and start with a 6 or 7. If you are not on site at a City of Yakima facility, call the Water Dept. at 509-575-6154 or Utility Services at 509-575-6080 for your account number.
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Account number will be provided by City of Yakima staff if you don’t know it. If you are not on site at a City of Yakima facility, call the Water Dept. at 509-575-6154 or Utility Services at 509-575-6080 for your account number.

DEPOSIT

**PLEASE ONLY SELECT YES IF YOU HAVE OR ARE REQUIRED TO PAY A DEPOSIT AT PUBLIC WORKS **FOR THE HYDRANT YOU’RE RENTING TODAY** AND THEY GAVE YOU THE RECEIPT NUMBER FOR THAT PAYMENT.** DO NOT SELECT YES IF YOU HAVE PREVIOUSLY PAID A DEPOSIT FOR A PREVIOUS HYDRANT RENTAL.
Deposit Paid:(Required)
If you don’t know if you are required to pay a deposit today or if your account is delinquent, please contact City of Yakima water dept. at 509-575-6154 or Utility Services at 509-575-6080 for those inquiries. All new customers, any customers with delinquent amounts owing on their existing account, and customers who have an existing account but haven’t rented a hydrant in 3 or more years will be required to pay a $200.00 deposit. All delinquent amounts must also be paid before a new hydrant will be rented. This deposit amount will be applied to your bill amount once the hydrant is returned.
Receipt number will be provided by Public Works Admin staff after payment is received each time you have to pay a deposit.
List location/s hydrant will be used at.
Reason for Rental:(Required)

Clear Signature

FOR OFFICIAL CITY OF YAKIMA USE ONLY

All field below are for City Of Yakima staff use only.

HYDRANT #: ______________________________

HYDRANT DUE DATE: ______________________________

CHECK OUT DATE: ______________________________

CHECK IN DATE: ______________________________

METER READ AT CHECK OUT: ______________________________

METER READ AT CHECK IN: ______________________________

CHECKED OUT WITH WRENCH: YES / NO

CHECKED OUT WITH SIGN: YES / NO

RENTED SIGN #: ______________________________

CHECKED IN WITH WRENCH: YES / NO

CHECKED IN WITH SIGN: YES / NO

ADDITIONAL CHARGES OR NOTES:

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