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Meter Swap � Request Number: 13780 � Public Works Division Service Request Problem Addreas: 1340 64th Are Requested By: Sharon Ramscy De�rtment: WATER Addresa: No ad�ess provided Problem/Issue: INSTALL AMR METER P�oae Nnmber: 574-9322 ScLeduled Date: 2017-03-09 Sc�doled 11ek: 10:30:00 �r �� 1�a'3 ACTiON NEEDED: Created by:. Werniy Hiatt Date Cre�ted: 2017-03-02 ACIION TAitEN: � ��1 � � �� .___-_�1.a Y"��'� � _ -��f In Pro ss Snbmitter Hat Bsen � ' � Contacted Date Com�eted: Completed by: . ��� � �� 'i ��aP,.." . � � __ � � . . . ' � � . � � �` � . . :..� �� r� �'a� � � � � � � �53-�7�-�5�� 9��a� i�es'eny auCf,oriz���ae�' o#�e�edl �egal�ce�e�rater�aeter. ��zasderstanr!t�a��he ro e � ery andjoe-its eastployees#o do�vhat ds r�ec.e.ss €� P �Y owner�s�iakale foa�fif�e�rater 4ie�e�rom tt+e anaie�fio�ae premise and all imer'soi �Staareaisirzg. �Per�C"rry sade�Z.QS� i aiso�ea9d the�'st�j trf�sidleyr and�Sts em�slszyees harmless for am��ama�es't�eat seaay�ccur�rhite�oir: -�, a�aer�tion_ T9ais�o�ncfucEe,�au�no�dSaa�stecl�o wahres,piping,mratls,#loors�r�ae zcarh stog taox aesd seruice�ia�e. fra understand i am also • t�m o�taira a pe�nit�araos to�eay�rnr�,��ecessas�e�. • ��� — � �LJ���D� V� �lT1iA�NiETER i�EAolWG�o�Ci meter o �� �� � S � � ��� � #iame: 1� `�v`��� �i_ _V�' � �� Address� c Phone�iumber � �� ��� Date ������ Stgrtature '�. __._ fAl�tness Si�r�ature_ �l\ oto�t��� � � 7�0�� 8' OLD READBING �� � i4f EiAP 144ETER# � 1 V����o � NE����_ ._ ���-��! � �Z �2�� . ����������D� c[�A�'�'��IZ.�U'ATElt,STQR�!W�4.�E4�AND SANITARg SEWER ADM11�6STRA7'9C�Di�f �R�Ord 8�[0�.130`l'i7Yy�V.Dy�6�p Vd.7)57+7Up V���9L.+Gy 7410q.1���1 s ���.Ai71� �Q2.5 PERRfT9T FEE Prior to constructing or repair af arry water aF sewer I�+ae connecting tt3e existing arruniapat system and any fiouse or fxriid"mg for which the aRArcafiifln is rnade,ttae o�vner or corrtractnr shall be required to olrtain a permi�for suda connectiory a»d shall pay a permit fee as provide Cha�oter 3.�of this Code. qfter such conaection has d�eer+rnade,the�Ilater and Server Departmerrt shali ite noi3fied. �#sha{!be uataarfu�#n aray connecting Sisse un�ti{an inspection Y�as been made and�uch connection and�fie vwortc inr.iderrt thereto has t�een aPProved bY the City a pmper and s,ui�tab�e connectia�a. MJZA6 REFAlRS�RI�D 9UtARVTENApYCE TO COfW�iECl'ftlfOf A�Fter the inr'rial cortnectian has been made�o the wa�teer service curb sto�boec or the se�arer iead at�r3se Pmperty'fine as a water service iead been exfienti�eti to the pro�+e,'tY line for connection,tf�e appiicarrt,vwner,or accu�arrt ar usec of such premises sha(i be iiat�le for afl re�irs require�d to arn�water line and sewsr 1'snes s�ecessary�ar connection of�tiie�remises fro�sr the main to the premises. tf fihe properry ormer reques�s mairrtenance service ar repairs be perFormed bp the CitY,the property awner sha{1 be d�ar�ed for�ehe�casEs u�#he mairn�nance an� repairs,iradudirag necessary street repairs at a rate set annua�ty by an adnnin�ive pot'�cy. �t sfia!!be ifie resporis�it"ity*of the appGcarrt, 4wner,occupant�r use��to per�orsn standard maimena�ce of the sewer seraiice line from fihe premises io fihe main�ndud�rig debris dearing �'oot�u�tting and ta mairrtain the water service curb stop box for operahility and at su+ch fieight as rwn'll ensure that it remains above the finish grade of the land or p�operty, �l�ef 638,1155,1191�