Meter Swap Request Number: 14729
Public Works Division
Service Request
Problem Address: 1551 Camelot Ln Requested By: James Payne
DepArtment: WA1ER Address: No ad�esa provided
ProMem/Issne: INSTAI.I,AMR METER Phone Number: 571-1445
ScLednle e: 20 -04-i9 � Se�cdNedllme: 07:30:00
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ACITON NEEDED:
Created by: Wcndy Hi�t Dnte Cre�ed: 2017-04-17
A�C.'TION TAi�N: ��
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Stat�: In Progress ��bmitter Has Been r.
Contstcted
Date Completed: Completed by:
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tax¢rtd�sra A � t��owner��s�ia��e F���e seratec tin�from�he anais��o�tee premise and atl iar�e�
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nwea�a�or�_ �ais�ra�nctucte,?arx��asa,t Basa9rted�ca sraives,�r�g3irag walis,f9�csrs�s�e+a�a�sto��aox�rad serv5ce lenee &rt�e�d�estanct�arn al
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Prior to consir�ctirtg or s�epair�rF a�y water oF sewer�i+ae r.�naed:i►ig the s�cf�siarsg m�znia�rat systern and arry�ouse es�tt7dis�for whicFr'�
appiicafiivrs is rnade,the o�mer or cor+�ractor sfsatt be required to otrtairs a�►ernasfi fos suc�e connectiori,ar�d shal3 PaY a pes'mr�fee as prflvi
Cha�ster 3.��this Code. Ai�er suci�co�rnection�Sas been made,fihe�U'ater and Se�vea��epastas�t�frall�e�aotified. t�shaD be un(awful#
aray cvnnectiazg tine urti�'!an ir�s�ectian has been anacle aad su,r.h cor�rtectia�s and the wrn�r inciderrt thereto E��#seen approved by tbe City
�roper and suitab�e�nraectsora.
4tl2.05 #tEP�RS A4+iiB+�+sA131tTEAfA94PCE TO Ci�W1tEC1'iQRI
,�fter the inr�ial�onr►ectivn P�been rnade�o the wa�ter senrlce curb sto�box ar#he sewpr lead at i�e pmpertx iiRe or a�servi��
been exfiended to�he pro�erty line for conr�ectian,the ap�riicarrt,oaimer,Qr accupa�ar�ser aF such pr�mises sftali b�e t'�abie fa�atl segaic
required to ars�r wrater tine and sewer Iines necessarg�#or connection af Che premises fincr��e ma�rs to#Fse�mises. )f the�rnrr�e.
requests mairr#enance service ar repairs t�e perFormed by the Cityt,�ae grc�perty rnwrrer shatl be rharged far fiFte�s#s af the mairrtenance a
repairs,in�ludi�ag ne+cessary street s•epairs at a+�ate set annual�b�an adms"nis�tra�ive po�icy: tt shaif be the resporrs�'�of the aPpGc�
o�vner,accuparrt ar user to perFarm standard mairrtesi�nce vE the se�ver see�rice l�ne from�fte prem�ses#o fihe main arjdudi�de�clearsr
roo�t cutting arsd to mairrtain the water service curb sCo�box for operaiaiJity and at such f�eigfct as an7i er�,rre#�at it rernains above the finc
grade of the�and of ProFesfii- (Ref 638,Z256,1192�
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� j' INSTALLATION
�m,� �STANDARD WATER METER
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Address �`�� ��� '`�+ "
Name�„'� ��yt��
Date � �—�� �
Old Meter Number _���� ��—
Old Meter Reading �� <7�-d
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Replacement No. �) �E� ���
Replacement Reading �
Replacement Make ����`�
Remarks: ��b'�pE� �►���
Signed: ��