Meter Swap . � 4 Request Number: 13771
Public Works Division
Service Req�est
Problem Addreaa: 6080 Central A�ne Requested By: Lonaine Nelson
Deputme�: WA1ER Addres:; No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-0616
Scheduled Date: 2017-03-07 � Sehednied TI�e: 10:(?0:00
� M�� � lo Q�,
ACTION NEEDED:
Cre�ed by: Wemiy Hiatt DsEe Cre�ted: 2017-03-02
ACIt°C1N TAI�N:
�aY �`✓ � W��1.�/ ��/�,�
���...........__ ._._._.._..�...._
�1r..
�
�,; ' �,�, �
Snbmitter Har Beea
St�� In Progi�ess Coatacted �
DateCompleted: � � �— �,�, Completedby
����
�5�-�7�-�55�
���a� txer'ehy au�ho�-ize tiae�ii:y�#�s�dley and/or i�s emp�oyees#a do�v�at ss necess
regs9ace t4�e mrater megee-_ t�anderstand td�a��he propea�iy owner 3s�iable f�r�e�vater IiRe from�he snain��ee premise and aii imsrio�
g�@aarsa3aieag- �P�r�ity�de 4#�2.QG) 8 ads��Sald the�"+tt,r�f Fsidle�andfits�m�lmyees harmless for am/�amages t.taa�t seaay occur�r4aite stoir:
. u�erxtion. i'teis fio lncfud�.Raut seoR dara�s�tec{to vaives,��Ping,�vratfs,floors as�ae�cearls s#up&aox�rad seruice�is�e. Ira understand�am alsc
te�otataira a pera�nit ges'ias to aaly�rnr�,if�ecessas�e�e
Zr�B -' ��1 1�I 1 O -' O�
, $ � � �Cd � � ���
�g���������a�����a
�tame: �o�'�'c.�`1n,e �`�LS�.Axrdress `+C�CJ�0 Vc-vl-�—r�'[�.,�
/,, �
P�aone�fuml,�ea-__� f I + v�p ��,�/ Date_ �� ��"� ��
S"gn�gnatare W�ness Signaburs
S?d.D METE�� �'��� � ��
����Dt�� g� � ���
�����R� �I `� ��a�1 I 5
�� �--- d
���# �
71�d�o'��'
�,Dc.�r�r cae��
C[t�'�R QU2.YVA3�ER,STORSV!'Y1r,�,7'lER AND SAtNfii'Al�Y SEWEI�
ADf0�f1+1HS 6'P;A�'8pN
�01���Y�l� ���,°�V`#y�VJy 741i7g�GJJ���p'Z7V�y 9f��s 7Wy iig°'F��i.7�,,1�91}
4(92.5 PER41�TdT FEE
Prior to constructing or repair af ar�y wa�er of sewer li+ae connecting the euisiarsg rnuniapat system and arty i�ouse os bui[dis�g fvr urf�ich the
appticafiifln is snade,t�re�vner or corriaactflr shatl be requi�ed to obfiain a permit for such connection,and shall pay a pe�rnit fee as providE
Cha�ter i�of this Cade. After such connection has beer+made,the Water and Sewer De�rartmertC shali be raai�Fied. tt shalf be uniaarful to
ariy cona�ecting line urrtif ap inspection F�as been xnade and such connedaon anti the worRc inciderrt thereto has been approved yy the�-d;y a
proper and surtab(e connectiora.
40Z.Q6 6iEPta1RS APf�94iA1RITENAFhiCE TO�ONNEC7'iON
A�Fter the initiat connectivn has been made�o�e water service curb stop bo�c or�se seover fead afi fi�se iat'aPect�i�ine vr a water sen�ice�ad
bee�ex�ended�o fihe property line for conr�ect�an,the appiicarrt,rnrrner,or accuparrt rnr aser a#sucy premises sha(i be T�able forall repairs
�equire�t to arr�rvater dine and sewer Dines necessary#or conRection of the p�emises fror+r tF�e main Co the premises. !f t#�e}noper�y owner
recsuests maisrtenance service or repa�rs be perFormed hy�he C'rty.tPae property►owner shalt be charged for#ie costs of the mairrtenance an{
repairs,inctuding ne,cessary stree�t repairs at a rate set annua�iy by an administrative pol'rcy. tt sf�ai!6e the respons�iCi�rj of t�e appiicarrt,
owner,occu�sarrt or user to perforrr�st�ndar�t mairrtenance of the sewer servsce�ine from i�ae prernises to the main anciudirig dehris dearing
root cutting ar�d�o mairrtair�the water seruice curb sto�brnc for olaerability and at su+ch heighe�unli ertsure tfiat'st remaisis a{wve the finish
grade of��he dand or�roperty. (ltef 638,115+6,1192]