City of Madera
Water Exception Request

Water Exception Request Overview


    From: to

    From: to

    I understand that it can take up to 72 hours for approval of the requested exception. I understand that my company and/or subcontractors must not utilize water outside of the provisions set out in the water use regulations, without an approval for exception. I further understand that if any damage is done to the city systems that myself and/or my company is responsible for, I will have to pay for damages. I understand that if the exception is not used within the allotted time, a new application must be made.

    I, , agree to the terms above, and certify under penalty of perjury that to the best of my knowledge, all of the information submitted on this form is true.