Have overhead power lines from the 60's. The transformer feeds about 4 houses with about 100 A of 240 V. The fuse is on the primary side. The secondaries run to the meter first and then the "fuse box"/"breaker box" where there is a main fuse.
The power companies have upgraded to "smart meters". Rumor has it, they can disconnect power remotely. Meters are read by a Zigbee network.
The trend was to put a disconnect on the outside of the house. So, it's a fire company thing that power can easily be disconnected.
For emergency home access (fire/rescue), there is this thing called a "knoxbox"
https://www.knoxbox.com/ that many business have, but homeowner can have it too. The fire company has "controlled access" to the box. The keys are "dispensed" so to speak. So, I can't use it to put a spare key because I don't have access to the box which would contain keys. It saves the fire company from breaking down the door.