Loading...
HomeMy WebLinkAboutFHM#3.�w.w wYM 30 rrs&fe rerM Wnx t,rWLL. eMen+Ot/ V"I aw 12131/2021 '[ween 01/0.172!77 awd 12lJU1022 [ween 01X+1,/2020 and 12!31/2022 wee+, 01.10112020 and 1213 yX122 rtan 02,'01/2020 and IZ73L2022 ear Oi,^04 and 1zt31/'+ozz WELL' aer .. 0"112021 and 12131/3 0110112017 and 12/31/2022 and u z V12112Q20ynd f /ifrn» V0112W anti W3112022—� 202I and 12131!1021 2014 and 12/31/2022 2014 and 12/31/2022 017 and 1273172022 720 and 121312022 20 aro 1213112022 V and 12/3112022 D and 12 12022 'and 12/3112022 s 1 121342021 1243112022 2'342022 FIRE HYDRANT USE PERMIT NONTRADITIONAL WATER CUSTOMERS REXBURG 35 North Ist East Noch.phetheon@rexburg.org Phone: 208.372-2136 , CW Rexburg, ID 83440 www.rexburg.org Anirrtwi Fumdy Community 9 g Fax: 877.397.3917 Date Issued ! Meter # .3 Hose Number: ,yi`e23 Permit # 10 • (� D Business name: _*f a, _& )-1,047 Phone# kpv,'n. 204 f/5- 665*9 Picked up by X7,e 0,4 rn,r� red c�, Phone #. sea a 70Q — G0f — Z >g t Address: 2. ,t4' /Zjt JIl �c9 Year Issued: Deposit amt: (Receipt Code= WDEP) with cr dit cards charge an additional 3.5% (Receipt Code= MISCG) $1,600 Large Capacity Water Meter Deposit retained? ke"OR"R' or refunded? $ 600 Small Capacity Water Meter ( date) CONDITIONS OF PERMIT: In order to prevent possible contamination from backflow of the Rexburg city water system, any persons or entity desiring to obtain water from a city fire hydrant must comply with the following: 1. Obtain a written permit from Rexburg City Hall, 35 N 1" East, before attempting to take any water. f 2. Take water only from the one fire hydrant designated by the city water department. 1 3. Checkout the backflow and metering device from the city water dept. to be attached to the fire hydrant 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 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: Is5 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. 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. Signature of Applicant REFUND TO:rr�a CHARGES: METER OK: YES OUT READ NO IN READ METER MAINT 75.00 GAL. USED 0- 1000 GAL 10.00 READ DATE ADDITIONAL WATER METER RE -ISSUED? YDS NO REPAIRS -PARTS TOTAL Received by: Issued by: 1 iT W., td service l ng repl2kce with 'is tra _C(tWj L�rE rCJ�-jrl ementsun eats to the current cen, ery hrhrouSl g Flo rule ns sooner. ,000 customers) ba, ed Per billions (PPb) versus nore LSL, sooner, wal Set ith 'heir state 15 Pb. 'resi4ha °will better frequently, at at n)o ppb a n find the high) ad leveloore s that tnnually or serni_annuall Y at the standard numb, S with LSL, likely to h I l lower the lead in save higher levels icles prior to sa ampler of lead. ce line. mpling_ will be Prohibited will not meet th system -owned a Proposal require f the line. P°rtion of an LSLlnenis' nes, when a rust 'he line ppb _as replaced towards their 71, 7e even when no replacement r ovv co TWINING I Back to Even Classroom m Idaho Rural Wak specialists, as w managers- Untt wastewater CE 40nday. Decam Utility N April 21-221' Evart dah Utility brae professions water, ,1151 This trIW and tam s Tomes ik FinapgR Teel