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2. NOTE: You must have an active water account with the City of Lowell in order to rent the truck. The truck rental request must be received at a minimum of 48 hours prior to delivery date. Customer Service will contact you via phone or email to confirm your reservation.
4. TRUCK REQUEST
5. Today's Date:*
   Today's Date:
6. Truck Delivery Date:*
   Truck Delivery Date:
8. First Name*
9. Last Name*
11. Phone Number*
12. Email Address*
14. The City of Lowell is charged to dump your load. You understand the fees, taxes, and any additional surcharges will be invoiced and forwarded to you for payment. (FYI: Minimum charge is $67.47 unless reflected otherwise on any new Council adopted Fee Schedules.)*

    1. I understand.
16. Billing Address*
18. City*
19. State*
20. Zip Code*
22. NOTE: The truck will not be delivered until Public Works has finished with it at the end of their shift on the day you requested. Also, it will be picked back up before 8:00 am on the following day. Your rental is for one day unless you have rented it for a Friday which will include the weekend.*

    1. I understand.
24. Address to Deliver Truck:*
26. The truck will be parked and will not be moved until it is picked up by the city. I also agree and understand that I will be responsible for any damage to the truck and also agree to hold harmless the City of Lowell for any damage or accidents that may occur involving the truck while it is on my property. I do understand the truck should not be overloaded in a manner in which it cannot be hauled in accordance to state law. I do understand and agree that the items noted below will NOT be placed in the truck. And, I also understand I will be responsible for any additional surcharges for matter rejected by the county landfill or Waste Management transfer stations.*

    1. I understand and agree to all of the above statement.
28. PROHIBITED ITEMS:

    (1) Any hazardous or industrial waste, oils, paints or liquids, etc.; (2) Any tires, metal, metal appliances,  or asphalt roofing shingles; (3) Any grass and tree trimmings mixed with other materials.

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