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Meter Swap ` Request Number: 13887 Public Works I)ivision Service Request Problem Addreas: 6644 Arthur St Requested By: Carissa Departmeat: WATER Address: No�ess providcd Problem<Isa�: INSTALL AMR ME1ER P6o�e Nweber: 503-8U4-7020 Schedfyl�.�ate: 2017-03-14 ` , Schedaled 1lme: 10:00:00 7"' , _ ��; � �AC110N 1�i�EDED: � Created by: Wendy Hi�t D�e Cre�ted: 2017-03-07 s ,�J� AcnoN T.�x: :���:�- ��>��k..- ��'��. St�: �n Progress 5ubmitter H�r Beea �, Co�aated Date Coay�letcd: Completed by: �=-��(--(� ; � �-��ea�e�2 3vd� �54�� 7�3-572-355� 1��a� her�by authorize ttae�i�af�ridley aeadfor its esnpioyees to slo what ds necegsae �egal�ce td�e water rraefier. 1 vntlerstand t�fa��he�ro�tes�l�flw�ec 3s�iable for�e�vater iirte from ehe anais�to�he premise and all iarcerior + piearra�sing. {��r�Caty code��2.�6� 3 als��aoicJ the C'rty of Fsidley and/"rts errt�sloyees harmless for�r+y damages�hat rx�eay occur white sloirag . ��ee�taan. TOass fin inefude,�aug�ao�8ianttect io ualves,�fPing walis,f99ors�s td�ee�ue�b sto�&�,ox arac!servece li�e_ In uesd�rseand i am also re ts�atstaiaa a perrnit gar'sar�o aaay rror�,sf�ecessary. (�i�"1��Q�r 11✓ �J Y �� �F9R1AL�11fETER itEADllhiG�oici mefier) �� 1 � � � � � " � A Aiame- �/ i��'� (��� AddreSs —1 � �`�l t''�V P�one Atum r . Dafie � �"�`` `�� Signatu� tN�traess 5ignature v. �o����-���_ �S�$ � �CX� � > �� otD�����G ��a ��c� ����,����� �l��o ���� N��'��1P�fG-_ � Ei��'# �� U' b��� . ��iIDLEY C!�'if�Ct�DE "� �[-11�►�'�R 40Z.1AfATER,STORN!WA,�'E4�R141f D�ANiTARY�EWER - ADM11Y1S'�RATICIN �Ref Ord 6btv 113,�4,565,�66,629,638,�62,922,988,1144,1i56,1191� 402.5 PEEtiUfd7'FEE Prior#o constructirig or s^epair of arry water aF sexrer iine connecting the existing tnunicipal system and any h+�use oc bu7dirtg fvr urhidt�e appiication is mac(e,fihe owner or cor�tractor shall be required to obtain a perm�fi'For such connection,and shall pay a permit fee as providec Cha�rCer 31 of#his Code. After such corrnection has�een rnade,the Water and Sewer Departmern shali�e�aotified. it shatl be wnlawfui#o c, am/cona�ecting Gne untl an inspection has been anade and such connection and the wor�c inciderrt thereto 6as been approved by the C'cty as proper and suitab�e connea�iore. 402A6 REPAtRS�D 9kafAINTEf11RRiCE TO COfilNECTiOPl After the initiat conne{chvn has been made tn#he water senrice curi�stop box or the sewer le�t at the property iine ar a water�rvice lead fi beera eutended#o the property line far connec�aan,ifie appiicarrt,owner,or accu�rracrt ar user of such premises sfrall be iiabte far ail re�frs requirest to any water line and sewer lines necessan/for connection of the premises fram#he main to the premises. 1f the property awner requests mairrtenanc�senrice or repairs be perFormed by tPse C'rty,the p�roper�+j awner shall he cfiarged for#he costs o#iE�e mairrtenance and; repairs,inciuctirag ne+cessary street re}aairs at a rate seY annuadty b�r an administraitive poficy. tt shat!be fihe responsr�il'rty a#the a�car►� o.,vner,occuparrt or uSQr to perform standard mairrtenance of the sewer service line from the premises to fihe rnain anciuding debris dearing� root cutCing and to mairrtain the urater senri,.e curb sfiop box for operability and at sucJ�7�eigfrt as+n�ll ensure that it remains abov�the finishe grade of the tand or property. (Ref 638,1156,1191) � ,,g.: .a:r... , . �.