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Home My WebLink AboutHYDRANT PERMIT - 20-00802 - Big-D Construction FHM #9exe �• r r I? !� mended) of program? (Recon r mains? ,,a of any leaking ware � Recommended) :Y pr is ( means to flush e4u pP� with a mlannually? not wdh dnnkin9 shed at least seld not be ,n con used that shote pes sealants components, sectietc ants on a freezing? I disintectio^ and rice water man temente bns that provide supe mended) I are unregulated? (RaCOm IBCIIIt,es. etr%)eed e SubsurfsC wre e er storagg"tee tanks That ^ ed thab mended) no longer being us �PPIY wells that are tl? (Recommended) program PfOvrded and imr n r I re connection co^ implement Inspection Pro9 ice. 10 days t ,y) fAuthontY to Is(In9.ab'l"Y to discontinua service ,d in cross connecti°^pWsrtestedear1n a Y u? renters owned by the onnections? d cross or sewer dr unprotected storm connections d a treatmen %s direct con h dram use re.. uncontrolled fire Y mains hydrants and laps easily Protected fro ld co ride m ntal on all air va open downwa rang backflow iter entry and backflow Protection mr ons Provided with 35 North I st East Rexburg, ID 83440 Date Issued FIRE HYDRANT USE PERMIT NONTRADITIONAL WATER CUSTOMERS Noah.phethean®rexburg.org Phone: 208.372-2136 www.rexburg,org Fox: 877.397.3917 Business name: 6 y 6 - n Picked up by Address: M1 Deposit amt: (Receipt Code= WDEP) with credit 1 $1,800 - 2" Water Meter Deposit $ 800 - 1" Water Meter CONDITIONS OF PERMIT: In order to prevent possible contamination from back desiring to obtain water from a city fire hydrant must 1. Obtain a written permit from Rexburg City Ha 2. Take water only from the one fire hydrant de: 3. Checkout the backflow and metering device agreed upon by the user and the city water t CITY OP REMURG CY Anvrlod t'rN* Cobh Meter # 9 Hose Number: Nbn P_ Permit # L`glir��4,V/L�(/(. (1 Phone# 2o�- zul 3ai3o Phone If 2 e` - 2a r - 3ajAz, Year Issued: %d:2 c charge an additional 3.5% (Receipt Code= MISCG) ined? or refunded? ( date) Iw of the Rexburg city water system, any persons or entity Imply with the following: 35 N 1't East, before attempting to take any water. nated by the city water department. m the city water dept. to be attached to the fire hydrant INCIDENT INVESTIGATION pROCEDpRE8 Bratton Connectio, P.g'r Chairman section n control committee . American Water Works Associa Iper is to provide information for A backflow incident. A discussion Ater 4ualit per identifying complaints in is ral. 7 Llows 9 Y hoes a backflow eincide a speed response equipment to identifyby personne take proper correctivthe investigationaction sour Y Ilse to watersystemedont and, to a 2 contamination. I this paper is intended ierial Committee Theparation by the p NV the cross information is ity, connection control pr 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 tomer or consu deposit will be refunded to the user. (City water dept. will conduct a final inspection.) mer 5. The fee for any water obtained through the metering device is as follows: fuide l ines Fee: 1-1,000 gallons $10.00 Each 1,000 gallons thereafter : $5.00 ' if for dealing with a coy 6. A $50.00 maintenance fee for V and $75.00 maintenance fee for 2" will be assessed each year for P` sue 1* s Do not argue maintenance on the meter. mer should be With the custom 7. The meter needs to be returned by 12/1 for te$ting calibrations. A meter can be reissued the same day per ions program viewed as part g The cont request if needed. emergency act cit e an on on the custoebry the eusrt , Any person or entity not complying with this poli shall be assessed a penalty charge of $400 in addition ve , good o to the normal charge for the water taken. Howeverustomer, an immediate elution fMake acts Dotnot stdgues; estionstorat problem',, If you S' a of pphcant ill obtain aconcerns V theProblem will state t r the Cu, REFUND T0: le reply eo nvestig, METER OK: YES OUT READ 6 CHARGES: NO IN READ METER MAINT 75.00 GAL. USED 0- 1000 GAL 10.00 ADDITIONAL WATER READ DATE ------____ METER RE -ISSUED? YES/W REPAIRS -PARTS TOTAL issued by: Received by: