What information does the Hydrant Water Fill-Up Form request?

It asks for company and contact details, mailing address, phone number, date, hydrant address, starting and ending meter readings, total gallons, and a signature.

What charges does the form list for hydrant water?

The form states $24 per fill-up up to 4,000 gallons, $1.50 for each additional 1,000 gallons, a $24 minimum, and a 10% utility tax on the total amount due.

Do I need a notary for the Hydrant Water Fill-Up Form?

No. This form is signed without a notary; the signer provides a signature and date, and the form lists no notarized or sworn attachment.

Republic, WA · Ferry County

No notary required

Hydrant Water Fill-Up Form

This form records company and contact details, hydrant location, meter readings, gallons used, and a signature for a hydrant water fill-up in Republic.

What this form is

The City of Republic form records the company name, contact, mailing address, phone number, fill-up date, hydrant address, meter readings, total gallons, and signature. The form states that hydrant water costs $24 per fill-up up to 4,000 gallons, with additional charges for each 1,000 gallons thereafter, a $24 minimum, and a 10% utility tax.

Who needs it

A company or other party using a City of Republic hydrant for water should complete this form with its contact information and fill-up details.

How to submit it

Submit it to the city department named on the form; check the city website for current contact details.

About notarization

This form is signed without a notary; the signer provides a signature and date, and no notarized or sworn attachment is listed.

How to submit this form

1
Download The Form
Download the Hydrant Water Fill-Up Form.
2
Complete Contact Details
Enter the company name, contact, mailing address, and phone number.
3
Record The Fill-Up
Enter the date, hydrant address, meter readings, and total gallons.
4
Sign And Submit
Sign the form and submit it to the city department named on the form.

Frequently asked questions

What information does the Hydrant Water Fill-Up Form request?: It asks for company and contact details, mailing address, phone number, date, hydrant address, starting and ending meter readings, total gallons, and a signature.
What charges does the form list for hydrant water?: The form states $24 per fill-up up to 4,000 gallons, $1.50 for each additional 1,000 gallons, a $24 minimum, and a 10% utility tax on the total amount due.
Do I need a notary for the Hydrant Water Fill-Up Form?: No. This form is signed without a notary; the signer provides a signature and date, and the form lists no notarized or sworn attachment.
How do I submit the Hydrant Water Fill-Up Form?: Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This Hydrant Water Fill-Up Form doesn’t need a notary — but if you have another Republic form that does, a commissioned online notary can help.