Information Required for License Agreement for Inside Meter

Since you are using an inside meter, a License Agreement (Inside Meter Agreement) will be prepared by the County for your signature. Once you have signed, the Agreement will be fully executed by Harford County.

This License Agreement is necessary for the appropriate County personnel to enter the premises where the equipment (water meters, back flow preventers, drain valves, etc.) is located, for the purpose of installing, reading, testing and repairing or replacing back flow preventers and drain valves. The License Agreement also provides the County with a twenty-four (24) hour access to the areas where the equipment is located in case of a water pipe break or a major leak. County personnel will need to shut off the water supply and repair, maintain and test equipment.

To prepare the License Agreement, the County must have the information you provide by completing the following form. As soon as you have completed the form, return it and a copy of the deed for the property to:

New Connection Services
Division of Water and Sewer
212 South Bond Street
Bel Air, MD 21014
410-638-3300

It is important that this information be submitted as soon as possible so the License Agreement can be prepared. Until the Agreement is completed and signed by you, the work done under your Commercial Application cannot be accepted.

Location of Commercial Meter: (property to be serviced by water meter)

Address:
Zip

Tax Map: Parcel: Lot #:

Deed Liber: Folio: (please provide a copy)

Plat Liber: Folio: (please provide a copy)

Emergency Contact person’s name:

Daytime Phone #: Evening Phone #:

Applicants Name:

Address:
Zip

Daytime Phone #: Evening Phone #:

If property serviced by the meter is leased by applicant, please complete the following.

Lessor(owner) Name:

Address:
Zip

Authorized Person:
Title:

If property is currently under a sales agreement complete the following.

Name and address of purchaser:

Zip

Daytime Phone #: Evening Phone #:

Settlement date: