HomeMy WebLinkAboutHYDRANT PERMIT 2 - 20-00087 - HEADWATERS CONSTRUCTION #13permit rvO
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year issued:
Receipt Code= Mt5CG)
or refunded?
,ri with credit cards charge an additional 3.`36
Deposit retained? (date)
$1,800 - 2" Water Meter,
$ 800 -1" Water Meter water 5Y persons or entity
CONDITIONS OF PERMIT: g Y stem, any
In order to prevent possible contamination from backflow of the Rexburg cit ire hydrant must comply with the following:
take
1. Obtain a written permit from fire hydrant desxburg City lignated by the city water department.
desiring to obtain water from a city fany water.
2. Take water only from the t. to be attached to the fire hydrant
3. Check out the backflow and metering device from the city water dept.
agreed upon by the user and the city water deptment. damage to or loss of the device
4. As indicated above a deposit will be required on any metering device. Any
will be paid for by the user. After any use, repair, or replacement
conduct a final re deduct) d ,the balance of the
deposit will be refunded to the user. (City water dept
5. The fee for any water obtained through the metering device is as follows:
Fee: 1 - 1,000 gallons $10.00 Each 11000 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.
sting calibrations. A meter can be reissued the same day per
7. The meter needs to be returned by 1211 for te
request if needed.
I person or entity not complying with this policy shall
the normal charge for the wa
ND TO:
R OK:
be assessed a penalty charge of $400 in addition
YES OUT READ
NO IN READ
GAL, USED
Signature of Applicant
CHARGES:
METER MAINT
0- 1000 GAL
READ DATE _ ADDITIONAL WATER
METER RE -ISSUED? 1F/ REPAIRS -PARTS
Issued by: Received by:
75.00
10.00