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Private Hydrant Inspection Program
*Account Number:
*Current Account Name(s):
*Emergency Telephone:
Enter your billing address if it differs from your service address.
Billing Address1:
Billing Address2:
Billing City:
Billing State:
*Number Of Hydrants:
*Signature:I authorize the Portland Water District to sign me up for the Private Hydrant Inspection Program and add a $3.00 monthly charge, per hydrant, to my bill to pay for the service.
If we need to contact you, what is your preferred method?
*Contact Method:

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