HomeMy WebLinkAboutFIRE HYDRANT PERMIT 2 - 20-00463 - DASCO of Idaho FHM #3035 Noah I• East • •• ••••
Rexburg, ID 83440
Amrnwl Famit, community (208) 359-3020
Inspected By: Harper, Ivan
Priority: Medium Status: CMPLTD Inspectlon Date: bEl21111'019
Insocrri.... ^-- "
35 North Ist East
Rexburg, ID 83440
Date Issued
FIRE HYDRANT t"SE RPEKpMII
Noah.phelh
www.rexbu(g.org
Phone: 208.372-2136
Fax: 877.397.3917
pea se R: l 1 T Y a I'
a ��URG
Amrdai family (bmmumry
Hose Numu=%
Meter #Fw3
Permit # �� — a — 5 � n (
Phone #
IDBusiness name:_— p phone #
Picked up by
Address: %on ��y`r ro
Year Issued: W%% CG)
with credit cards charge an additional 3.5% (Receipt Code=
Deposit retained? _—or refunded? Deposit amt: (Receipt Code= WDEP) ( date)
$1,800 - 2" Water Meter _— — 9�
$ 800 1'1 Water Meter _�— water system, any per °ns or entltV
CONDITIONS OF PERMIT: I with the following: water.
In order to prevent possible contamin e hydrae mustfcomp y wif the Rexburg city tin to take any
fire by zr East, before attern g
to obtain water from a city City Hall, 35 N 1 water department.
desiring permit from Rexburg the city drant
1. Obtain a written from the one fire hydrant designated by
2, Take water only device from the city water dept. to be attached to the fire Y
3. Check out the backflow and meteringwater dept damage to or loss of the device
agreed upon by the user and the city aired on any metering device. Any
deposit will be req tering e charges are deducted ,the balance of the
q. As indicated above a use, repair, or rep inspection.)
will be paid for by the user. After any water dept. will conduct a final
h the metering device is as follows:
deposit will be refunded to the user. (City
The fee for any water obtained throng Each 1,000 gallons thereafter : $5.00
ear for
5' 1,000 gallons $10.00 n will be assessed each y
Fee: 1— 75.00 In fee for 2
6. q $50.00 maintenance fee for V and $
maintenance on the met turned by 12/1 for testing calibrations. A meter can be reissued the same day per
7. The meter needs to be re e of 5400 in addition
request if needed. enalty charg
Any person or entity not complying
with this policy shall be assessed a p
ater
to the normal charge for the wtake l
licant c%:..rtatnre of App
REFUND TO:
METER OK:
Issued by:
���OUT READ
YES IN READ
NO GAL. USED
READ DATE
apo
METER RE -ISSUED?
YES / NO
CHARGES:
METER MAINT
0-1000 GAL
ADDITIONAL W AVER
REPAIRS -PARTS
L —_–
Received bY: TO
1 1S /? lop