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VILLAGE OF NASHVILLE
FIRE HOSE RENTAL PERMIT
Resident Name:
___________________________________________
Address: _________________________________________________
Phone number(s) __________________________________________
Size of pool being filled: __ under 3000 gallons __ over 3000 gallons
Residents and the Village agree that:
1. Fees - the resident will pay for use of fire hose rental water used as
follows:
$25 for pools that hold up to 3000 gallons
$50 for pools that hold over 3000 gallons
2. Village Employee Monitoring
Property owner agrees that the fire hose use will be monitored by a village
employee
Property owner agrees that the fire hose use will be between 7:00 am and 3:30 pm
on a weekday
(the employee will not be on site during the complete filling of the pool but is
required to connect hose and start use, check the hose occasionally to maker
sure it is being properly used and disconnect hose when use is done)
3. After hours use
I wish to use the village fire hose after regular village employees working
hours or on non-workdays and agree to pay an additional rate of _________ per
hour required to have a village employee monitor the filling of my swimming
pool.
Yes ____ No ____ (if yes, will require a minimum of two hours of overtime pay
per hose use)
4. Village not liable
The village will not be liable (responsible) if a non-village employee is hurt
or their property is damaged, while using the village fire hose for any reason
other than a defect in the fire hose that was there before the use started.
I understand and will abide by the conditions set forth in the above agreement.
________________________ Amount Paid
$_________________
Date
_________________________ _____________________________
Residents signature
Village Clerk’s signature
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VILLAGE
OF NASHVILLE, MICHIGAN
