Meter Swap � • Request Number: 14088
Public Works Division
Service Request
Problem Addreas: 5241 Fillmore St Requested By: Tom Arth
DepnrtmeM: WA'IIIt Addres:: No address provided
Problem/Issue: INSTAL.L AMR ME1ER Phone Nnmber: 5'71-7790
Schednled Date: 2017-03-22 5c6ednled'Ilme: 11:30:00
-e.d lV l�.t z2''�` (.'3v
ACTION NEEDED:
Created by: We�y Hiatt Date Creatcd: 2017-03-14
ACIION TAI�N:
�I �
�.���
Status: In Pro ss Submittcr Aas Beea r, ��
� Contacted
�
Date Completed: � `� �.��l� Completed by:
� ���
� ,�
�� �
A�.�-572-�5��
���v� her�6�authoa�eze#�ae�C' o#�r�ttl
�e�O9�ce t6ae rerater�raeter. �+uotlerstartd�3aat�Eae rm e � �+f arnSJae-ats empiogees to�to�v�at ss neces:
t����� Q P g �'ty oa+nee�as dia�9e foa��e�rater lin�from the anais�to�ee premise and�11 ia�terio
� g• ��'�-�'�C"i#y cos9e�Z.QS� 8 ats��amid�fie�"�p��siclle�ar�d�°rts ga�a�a�i�yees 9�armtess for am��lamages that seaay�ccus�w�ite�oir
, -- a�ea�siora. �'9�is�o�r�cltac3e,4aut���am"stecl�o uaives,�ipin��wat(s,#l�ors ar�se caarb sCou&aox arccl seavece line. In u�ssd�rstand d am also
. tex�i�tain a�Serrni�t ger�os�o aray�ernr�,i�F�ecessara�o
"� ��� �� �--��� ��L' .— � �
�a�raa��rner����nu�ga�t�:;—
{ �`� � "�— �t �(.�� �
�aane- G�' '�rT� Axtdfess— �� � � �`l ��'b�� J�-- --
Pteoxse�ium�ieq' J� � � ���D Dafie �~ ���� l
Signatur+� 1N"stness SognaL�are �
Od.I��E�'Etg� �O O��� V
o����t�� ��� �G
�E����� � ��� � 5 3 3
��-�- C�
��-�-� �1 I � ��� � .
���������D�
CFl�+�R 4t�2.Fh/A7�i,s�fo�lV!W�7'�4�P�i�S�NRARY SEWER
AD11t1d1[iS�'�,A,i'9�?i1Y
. �5e�����1��0`�YYy��'��g 6�y�3�y���y�y 700y 3.L�r 1.LJV��7��
402.5 PERRett"�'FEE
Privr to sonstraactie�g or�epair af ar�y water aF sewer tiaae connectirig fihe e�astir�g rntsniapat system and arry�ouse or fiu�ding fa�ur(�ich#I�
�PPI�'����s a'nade.tise cnAmer or corrtractflr sha31 be required to obtain a permit far l�ich connedion,and sf�all pay a permi�fi�e as provid,
Cha�rCer 3.2 of this Code. After such connection has d�een rnade,ihe t�/ater and Sewer Departmertt sha{I i�e nrr�ified. tt shait be uniaarfui#o
any connecting iine urrt�7 an�nspection has been anade and such connection and the sRroric inciderrt thereto has been approved by the Crlp a
$�roper and suitab{e conneciiara.
�tC12A6 9�EPAlRS Agil��tAliltTE�fAfhiCE TO�Ol�i9eIECTiON
�atter ti�e enitial connectivn has been made�o#he water service curb stop bac ar the server�ad at fihe propereY iine or a raber xnrice lead
been extended to the properry line for connection,fi�e apQiicarrt,vxrner,�ac r�cupasrt ar user of such premises shatf E�liabie for ai!repairs
require�d to am�avater dine and sewer fines necessaryr for connection aF fihe premises from the main to the premises. If the property orsmer
a�equests maintenance sesvice or repairs be pesEasmed i�y the C'ity the prope�:y otivner shati be charged for�the�sts of ihe mairrtenance an
repairs,iraclud�ng ne�essary street s epairs at a rate set annuaily by an administratiue pvticy. tt sfiaif be fihe responsib�'Gtyr a#the applicastt,
owner,accuparr�or user to perform standard mairrtenance of i�e seurer seraice line from fihe premises to the rr+ain artclu�r�g defNis dearing
root c�tang ared to mairrtain the water serv�ce curt�stop box for oQerai�ility and at su+�h�eight as will ensure Cfiat it remains above#he finisP
grac9e of the land or�roperty_ (iZef 638,115+5,1192)