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Home My WebLink AboutHYDRANT PERMIT 2 - 20-00873 - Headwaters Construction FHM 17idg 19 N Bldg 8 - Nooh.phetheon4rexburg.org Phone: 208.372-2136 tea' a a Fax: 877.397 Bldg 8 - Nooh.phetheon4rexburg.org Phone: 208.372-2136 tea' Rexburg, ID 83440 www.rexburg.org Fax: 877.397 3917 m eo Idg9-W S 2470 W FIRE HYDRANT USE PERMIT NONTRADITIONAL WATER CUSTOMERS 35 North Ist East Nooh.phetheon4rexburg.org Phone: 208.372-2136 Rexburg, ID 83440 www.rexburg.org Fax: 877.397 3917 Date Issued Ii II Meter # 17 Permit # 2.0 "a)8;� I? Business name: Phone # Picked up by 0611 1UT/// `l Address: _.rll •_112�s1,P_ ---- ( I T V O F REXBURG -- I AmrI NmdV Lammufld) Hose Number: I Phone # 416.e t .yq it/ 4�1AiIoSo 4L s Year Issued: ZDZ Deposit amt: (Receipt Code= WDEP) with credit cards charge an additional 3.5% (Receipt Code= MISCG) $10800 - 2" Water Meter Deposit retained? or refunded? $ 800 - 1" 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 - 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 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.) f u 5. The fee for any water obtained through the metering device is as follows: kL rro n Fee: 1 —1,000 gallons $10.00 Each 1,000 gallons thereafter : $5.00 & 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 take . IS tinature ot-Applicant REFUND TO: METER OK: YES OUT READ _4 AY NO IN READ qZ GAL. USED READ DATE METER RE -ISSUED? YES/NO TOTAL ,/� ---- Received by: c�- CHARGES: METER MAINT 0- 1000 GAL ADDITIONAL WATER REPAIRS -PARTS issued by. J4� 75.00 10.00 1 04),in% r 0'"A" VV ER ESTIMATIpI4 IDAHO Idah 1411 1208 ldah� 1522-3461 Estimate tt, r� Bid Date: 04/1 Estimator. D d nni ha h •—vrdny estimate of materials that reviewing any Project plans e �ssible may be required for the above_ that unforeseen and�or specificatio Project require ns and is intended requirements have been left out 4 t is necessa ksentm+:._ req rY for the contractor to perform th est a quotation of the eir own rnateri als Project material from H. D. Vow expressed or implied, that may constitute