Meter Swap Request Number: 13613
� Public Works Division
Service Request
Problem Address: 1541 Ferndale A� Reqnested By: Charles Rice
DepArtment: WA1ER Addres�: No ad�css provided
Problem/Iasuc: INSTALLAMRME'TER PhoeeNamber: 571-4054
Se6eduled Date: 2017-03-02 5cLoduled 11me: 01:00:00
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AC'IION NEEDED:
Cre�ed by: Wendy Hi�# D�ce Cra�ed: 2017-02-23
ACTI TAKEN: [�]
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Stxtua: In Progress ��ner A�s Beee �.,
Contacted
Date Co�cte�: Completed by:
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���P� here6y authorize t#ae�� aE Frid!
'� ey ancl/or its emptoyees ta sto what ds necessary
regalece the urater�netea-. 1�nrlerstand that the g�ro�aercy owner as�iable for the�ater fine from tt+e main to$Tae premise anyi ail irrterior
. �taarra(sing. {Per Lity�ode 402.06� 3 also�toid ttie�"rt�of Feadley andJ"rFs empluyees hae�sniess for any�Jamages thzt rnay�cc�(ir�rltife rloing t
• o�Oer,aYian. Tfiis 80�nclude,b+a$noit 8ian'rtecl to walves,p9Ping,wails,#3oors or�e svrb sto�k�ox ared senrice line_ In under nd 1 am also rec
te�o�taira a perrnit qaraor ta any�eror4c,�#necessaey.
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Signature_ Witness Sigrsafiure
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FRIDtEY Ci'!Y COD�
C(iAfl�'ER 402.1NATER,S'fORM Y1fA1�'ER AND SEkNITARY SEYVER
ADMIAPIST'RATI091t
�Ref Ocd No 223,464,565,565,629,635,�62,922,988,I144,SI5�,1I91j
402.5 PERMiT FEE
Prior#o constructing or repair of ar�y w�a�ter af sewer 3irae connecting the e�cisting rnunicipaf system and arry fiouse or iwitdFr►g for which tf�e
appficativn is made,the awner or corrtractor shal!be required to obCain a permit for such connection,arnd shalt pay a}�ermit fee���ed
ChapLer 31 o�f this�ade. After such connection has been rnade,the Water and Setiver Department sha!!be ncrtit3ed. tt shatl be un '(;��
arry connecting[ine urrtil an inspection has been anade and such connection and the avorRc inaderrt thereto has been approved qy the C'rnj as�
�roper and suitable connectiore.
402A6 REPA►tRS ARfD�IiAIlttTENAfo10E TQ CONIYECIiON
After the iaii�af connectsvn has been made ta the water service airb stap f�ox or fihe seurer lead at the property line or a tirater�rvice�ead hs
been ex�Cended to fihe property line for conceectivn,tt�e appiicarrt,owner,or accupartt or a�ser of such premises shaJi be Iiabte for ali repairs
required to any water line and sewer lines necessary for conaedian of the premises fmm the main to the premises. #f the property orrner
reyuests mairrtenance service or repairs 6e perfarmed fsy tfte C'rty,the property omrner shaU be charged for#h2�osts of the rnairrCena�ce anaJ
repairs,inciuding nQcessary street repairs at a rate set annuaaly by an administrative poficy. It shalt be the resporrsibitFty af the applicartt,
owner,occuparit os user to perform standard mairrtenance of the sewer service line from the premises to the main 8ncluding deb�ts clearing o±
�'oot cutting and to maintain the urater service curb stop box fvr operability and afi such height as an'ii ensure that it rernaira above the flfnishe�
grade of Che land or property, (Ref 638,1156,1191)