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Home My WebLink AboutHYDRANT PERMIT - 20-00786 - Headwater Construction FHM 19359E55 21554E 20554E 325 E 1 5 219 E 2 5 459 Rolling Hills rip toojwr04�7 SS S24 �Ce sb1 0 � P4 SS( � Xq6 f n.. nncit amt: me, eiNe � Upper Boosters GPD (Daily Read) 50111 09/01/2020 50157 09/02/2020 50185 09/03/2020 50212 09/04/2020 50234 09/05/2020 50248 09/06/2020 50269 09/07/2020 50298 09/08/2020 50345 09/09/2020 50385 09/10/2020 50402 09/11/2020 50426 09/12/2020 50445 09/13/2020 50464 09/14/2020 50497 09/15/2020 50544 09/16/2020 50556 09/17/2020 50644 09/18/2020 50662 09/19/2020 50685 09/20/2020 50710 09/21/2020 50733 09/22/2020 50779 09/23/2020 50805 09/24/2020 50838 09/25/2020 50858 09/26/2020 50878 09/27/2020 50896 09/28/2020 50912 09/29/2020 51000 09/30/2020 35 North I st East Rexburg, ID 83440 FIRE HYDRANT USE PERMIT NONTRADITIONAL WATER CUSTOMERS Nooh.phetheon®rexburg.org Phone: 208.372.2136 www.rexburg.org Fax: 877.397.3917 CITY O F _ REXI3URG nv Amerim's rpmily (:em,rM"V Date Issued / "Z—ZD Meter# /%_ HoseNumoer. �� _ 'r Permit # 2-o — o d-7 e 6 Business name: f t Gf�f��/LS �D.Uv`7_ Phone # Picked up by O/�1 �Na 2? Phone # Z 0�' �/ 3 Address: Al. W1 z 61 CJ cM11 if <j3YY6 Year Issued: Deposit amt: (Receipt Code= WDEP) with credit cards charge an additional 3.5% (Receipt Code= MISCG) $1,800-2 n Water Meter —�— Deposit retained? or refunded? $ 800 - 1" Water Meter 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 1s` East, before attempting to take any water. 2. Take water only from the one fire hydrant designated by the city water department. 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: 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 is polic shall be assessed a penalty charge of $400 in addition to the normal charge for the water taker. l Signature of Applicant REFUND TO: METER OK: YES NO Issued by: vl Y OUT READ IN READ GAL. USED READ DATE 3'7/ CHARGES: METER RE -ISSUED? YES / NO METER MAINT 0- 1000 GAL ADDITIONAL WATER REPAIRS -PARTS Received by: TOTAL 75,00 10.00 Kuta, Jacob Luna, Roberto Steiner, Jason Steiner, Jason Steiner, Jason i Steiner, Jason Palmer, Thomas t!`t Parson, Les Racy, Brian I Parson, Les i Raty, Brian P Raty, Brian b Raty,Brian Raty, Brian Raty, Brian p Kuta, Jacob Kuta, Jacob Kuta, Jamb Kuta, Jamb Kuta, Jacob Kuta, Jacob D Kuta, Jacob LV Kuta, Jacob (2020