HomeMy WebLinkAboutHYDRANT PERMIT 2 - 19-00573 - Kauer Construction, FHM#2435 North Ist East
Rpxhura. 0 83440
Nooh.phetheon@rexburg.org Phone: 208.372-2136
www.rexburg.org Fax: 877.397.3917
Meter #
Date Issues I A. �—
Business name: f �i jP
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Phone #
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Year Issued: w
Deposit amt: (Receipt Code= WDEP) peposit retained? or refunded?
$1,600 Large Capacity Water Meter
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$ 600 small
CONDITIONS OF PERMIT:
y persons or entity
In order to prevent possible contamination from backflow of thehrtxburg he following: system, any water.
desiring to obtain water from a city fire hydrant must complk t before attempting to take any
1. Obtain a written permit from Rexburg City Hall, 35 N 1" t~
ater department.
2. Take water only fcca he city w water dept to be attached to the fire hydrant
3. Check out the bakf ow and metering device from the city
agreed upon by the user and the city water deptment.
re air, or replacement charges are deducted ,the balance of the
will be paid for by the user. After any u
4. As indicated above a deposit will be rIred on any metering device. Any damage to or loss of the device
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deposit will be refunded to the user. (Co water dept. will conduct a final inspection.)
5. The fee for any water obtained through the metering device is as follows:
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
maintenance on the meter.
ed by 12/1 for testing calibrations. A meter can be reissued the same ay per
7. The meter needs to be return
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..
Qionnture of Applicant
REFUND TO:OCHARGES:
UT READ ����
METER OK: YES IN READ «"7 METER MAINT 10----OQ
NO 0- 1000 GAL -------
GAL. USED ADDITIONAL WATER ---
READ DATE REPAIRS -PARTS -------
METER RE -ISSUED? YES/ NO T� ____�—
K(A Received by: �oC
Issued bynf3—
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