Meter Swap � Request Number: 13732
Public Works Division
Serv�ce Request
Problem Address: 6190 Benjamin St Requested By: Madeli�Carlson
Department: WA1ER Address: No address provided
Problemllssae: INSTALL AMR METER Phone Nnmber: 6S 1-746-9871
SeheAuled Dnte: 2017-03-03 ScheddeA T(me: 07:00:00
�
AC114N NEEDED:
Crexted by: We�dy Hi�tt Date Creited: 2017-03-01
ACIION TAI�N:
�J�'� `� �
��
________________ �_._._____ �� �
,; ,
;;.
Statua: In Pro�rress Submitter Hru Bee� �.,
Contt�ted
Date Completed: �_3-.. '�� Cou�pleted by: �`(,,�
9-�9L'91@�2 iVti6�Y °.ary4L.3�
a��-��a-��s� a(�7--`�7U 5 �� �D�
9/�r� laer�Poy authorize ttae�rty n#�r�dley and/'or its empdoqees to do what ds necessao
�eg�lace#he water snetea�. 1 a�nderstand t�a�the�ro�aea�ty�owner 9s liable fos�l�oe�rrafier lie�e from�he snain to�e�aremise and all aarterior
' Afaarra(saeag. (P�:P�ity�oa9e��2.Q5� 3 adso hoid the�'rty�fi�s�idley andJa#s emplmyees harmless#or any�lamages ttsat cnay accur urhile sloir�g
as�er,ation. �'i�ais#o�nelude,bu$reo�dian�teei�o walves,p�Pin�ayalls,floars or't�se�curia sto�o bqx aeed sea�vdce li�►e_ Ire�nderstand 8 am also r�
to o8�#aira a perrn'rt ger'soato aaay rror�C,if�ecessarys
�F9RttA��NfETER i�EADH1iG�otct meterD�Z l I`Z a
�iame: �" `�'�(!'�i�1� �tr�7O7�1 Addr'�s `�' {D �i —'"1 C.1,N'1.��- �'`�
Phone 4Yumber ��f � � 6�� i�� � �� �f— 3,.• � .
��� Ntttri�SignaWre �_
��.���'�$�s� � C V V
o�.D R�l�t �� �O tl��
� �G � �
�
������� '� q��ac���
����- v
���#__. � c �a � 3 a i .
�RIDt�Y�I7�f'C�DE
CE9�+P�R�OZ.Y6IATER,STORN!WA,7"E!i�IND SANITARY�EWER
AD'ff►119�!tSTRAT1i�[1t
�i�ef Ord No 113,464y 565,566,629,638,�bf2,9Z2,988,1144,115�,1191�"' �
4Q2.5 AERMl7'FEE
Prior to constructing or repair of any water vF seraer 9ine connecting tFse existing sr�uniapal sysEem and arry house or�xitd&ig fo�w6ich i6e
appi�cat►fln is made,fihe owner or corrtractor shatl be required to obfiain a perm+t for such wonection,and s6ali pay a permit fee as proviciec
Cha�rter 3�of this Code. After such connection has been made,the�Ilater and Sewec DepartmertC shal!be no�ified. tt siiatl be untawful to c�
am/connecting dine un�il an ins{�edSan S�as been anade and such connection and tfie work inciderrt thereto has been approved by the City as
proper and surtable connection.
402A6 �tEPAlRs ARiD 9klAINTEN/�IRiCE TQ CONNECTfON
After the initia!connection has been made to the water servtce svrb s�op I�ac or th�;SewQr fead at filte property iine ar a water service leac(fi
been exfiended to the property line for connection,the apptiprrt,owner,or accu�rarrt ar aaser of such premises sF�tl be tiable for a!I repairs
required to arry wa#er dine and sewer lirtes necessary#or connection of the premises from the main to the premises. if the property owner
requests mairrtenance service vr repairs be perFormed by the C'ity #He property owner shatl be charged for the�sts cf the maintenance anc�
repairs,includg�ag r�e,�ary street o�epain at a rate set anaualty by an administrative po(icy. �t shatf be fii�e sesporrsibii"fiifiy vF#he applicarrt,
onvvner,oscupan#or user to perform standard mairrtenance of the sewer service line from fihe premises to the main aactu��debris dearing c
root�utting ared to rrraintain the water servic.e.urb sCop box for operability and at such height as wili ensure khat�t remains a6ove the fin+she
grade of fihe lancd or�roperty. �Ref 638,1156,1191j