Section 1 of 1 in this document
Manatee County Utilities Temporary Use Meter Application
Company Name
*
Federal ID #
*
Billing Address
Street Address
*
City
*
State
*
Zip
*
Date Meter Requested
Office Contact Name
First Name
*
Last Name
*
Office Contact Number
*
Office Contact Email
*
Field Contact
First Name
*
Last Name
*
Field Contact Number
*
Field Contact Email
*
Meter Size Requested
3/4" Bullet Meter ($275 Deposit required)
3" Hydrant Meter ($1070 Deposit Required)
Meter Address or closest Cross Street
Street Address
*
City
State
Zip
Project Name
*
I have received a copy of the Manatee County Utilities Temporary Use Meter Policy and Billing Instructions and I understand the provisions therein
Yes
No
Sign Here
Sign Here
First Name
Last Name
Email
Choose how to sign
Draw
Type
I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.
Date Submitted
Month
*
MM
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
DD
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Year
*
YYYY
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
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disregard this