HomeMy WebLinkAboutHYDRANT PERMIT 2 - 19-00570 - Hill & Son Excavating, FHM#22ITY OF Public Works
KBURG 35 North Is, East
Rexburg, ID 83440
OwRexburg,
(208) 359-3020
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NONTRADITIONAL WATER CUSTOMERS U�S
REXBURG
35 North Ist East Naah.phethean@rexburg.org Phone: 208.372-2136rimer n,'s Fnnuly Comnuonry
Rexburg, ID.83440 www.rexburg.org Fax: 877.397.3917 "Expos%
Date Issued c c Meter # 1s1 2z. Hose• AlN.,W = -2- water c
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Business name: i G C- 'Q41'f Phone # r,;;207 -w:_ Sr'E Y 4a1 ACC exposberA
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Address: 0 14A.7 (E
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•.s� $ aj 7r- � Year Issued: �V� _ Sing Stg':"fi
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Deposit amt: (Receipt Code= WDEP) e line repl;
$1,600 Large Capacity Water Meter _ Deposit retained? or refunded? 'It rule•
$ 600 Small Capacity Water Meter ( date)
CONDITIONS OF PERMIT: mmroveme
In order to prevent possible contamination from backflow of the Rexburg city water system, any persons or entity t t
desiring to obtain water from a city fire hydrant must comply with the following: ugh the
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1. Obtain a written permit from Rexburg City Hall, 35 N 1St East, before attempting to take any water.
ach requt'
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2. Take water only from the one fire hydrant designated by the city water department.
3. Check out the backflow and metering device from the city water dept. to be attached to the fire hydrant EpA's 1
agreed upon by the user and the city water deptment.
4. As indicated above a deposit will be required on any metering device. Any damage to or loss of the device
will be paid for by the user. After any use, repair, or replacement charges are deducted ,the balance of the Large C
deposit will be refunded to the user. (City water dept. will conduct a final inspection.)
5. The fee for any water obtained through the metering device is as follows: ead Set
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Fee: 1-1,000 gallons $10.00 Each 1,000 gallons thereafter: $5.00
6. A $50.00 maintenance fee for 1" and $75.00 maintenance fee for 2" will be assessed each year for
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maintenance on the meter. c
7. The meter needs to be returned by 12/1 for testing calibrations. A meter can be reissued the same day per
request if needed.
Any person or entity not complying with this policy shall be assessed a penalty charge of $400 in addition
to the normal charge for the water taken.
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REFUND TO:
METER OK: YES .7 . OUT READ CHARGES:
NO IN READ Q METER MAINT 75.00
GAL, USED 0-1000 GAL 10.00
READ DATE /A ' Y' / 9 ADDITIONAL WATER
JIVIETER RE -ISSUED? YES/NO REPAIRS -PARTS
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Issued by: Received by:
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