City of Fresno | Water Meter Customer Portal

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Application for Short-Term Exemption Permit

Instructions

Please complete this form to the best of your ability and submit to Water Conservation NO LATER THAN 2 business days prior to the requested exemption date(s). Applications received on a weekend or holiday will be reviewed on the next business day. Once the application has been received, Water Conservation will review the application and make a determination. If you have any questions about your application, contact Water Conservation at (559)621-5480.

Contact Information

Tell Us About Yourself

Contact Name:

Valid first name is required.

Account Number: (e.g. 111111-111111)

Valid last name is required.

Property Address:

Valid first name is required.

Mailing Address:

Valid last name is required.

Phone Number:

Valid first name is required.

Alt. Phone Number:

Valid last name is required.

E-mail Address:

Valid first name is required.

Preferred Method of Communication:

E-Mail

Phone

Type of Property:

Single Family

Mobile Home

PUD/Condo

Multi Family Apt/Duplex

HOA Shared Account

Commercial/Industrial/Institutional

Type of exemption being requested

New Lawn Establishment

Planting Date:

Valid first name is required.

Landscape Service:

Valid last name is required.

Area to be planted:

Front Yard

Back Yard

Both

Type of grass: (Bluegrass is prohibited)

Fescue

Bermuda

Rye

New Lawn Permits are not available for over-seeding existing lawns

Solar Panel Cleaning

Cleaning Date:

Valid first name is required.

Solar Panel Company:

Valid last name is required.

Number of panels to be cleaned:

Valid first name is required.

Special Event

Event Date:

Valid first name is required.

Event Type:

Valid last name is required.

Type of water use:

Valid first name is required.

Other bona fide use

Use Date:

Valid first name is required.

Type of use:

Valid last name is required.

Reason for use:

Valid first name is required.

Established Swimming Pool Drain and Fill

Drain Date:

Valid first name is required.

Pool Service:

Valid last name is required.

Date of Last Drain:

Valid first name is required.

Estimated Fill Date:

Valid last name is required.

Reason for Drain:

Structural Repairs

County Health Officer Mandate

Other

If draining is required for health and safety reasons, additional documentation may be required

New / Refurbished Swimming Pool Complete Fill

Fill Dates:

Valid first name is required.

Pool Service:

Valid last name is required.

Choose Exemption Dates

Start Date:

Valid first name is required.

End Date:

Valid first name is required.

Anything else to add?

Comments:

Valid first name is required.

IMPORTANT NOTE

Short-Term Exemption Permits are only valid on the dates of the approved permit. If anything changes with regard to the dates of the exemption, it is the customer’s responsibility to contact Water Conservation to request a date change and/or extension.