Meter Swap • � Request Number: 13883
i
PUbI1C WO1�3 DIVISIOri
Service Request
Problem Address: 1660 Garc�na Ave Req�ated By: Dick Grain�r
Departmeet: WA1ER Addreas: No ad�ass provided
Proble�/Isa�: INSTAL,L AMR METER P6o�Number: 631-323-�939
Sc6edaled D�te: 2017-43-16 � Sc6edrled T1me: 10:0A:Ofi
(
AC!'LON 1vEEDEDt
Created by: Wandy His�t l�ate Created: 2A 17-03-07
ACITON 1'AKEN:
Statua: InProgcess �nbmitter Ha�Hasg r,
Couticted
Date CompleMd: Completed by:
�-l�f 1�
�-��sa�e�a tv�� 5�4��
���-��z-���� � ��, _��C: :�`I� �- � l
l��ve her'ePoy authorize ttl�ae�i�of��idley and/ur�ts esnpioyees to�io+ufiat ss necessao
� �ega9ace#.Ese�ura�er��ea�_ t vaaclerstand 3���he pro�oea�ty oavner 3s�iable for tl�te�vafier qiv�e feom�he rr+ais�Cc��Cte premise and ail itrterioa'
�„ g�turrabie�g. {Per�Cs'ty sos8e�t02.Q6� 3 a3so hoid tfie�ity�F��idle�r and/ifis ern�sl�yees haernless 6ar any slamages that►taay�ccnr wlaii �sfoirag
# v�aea'atian. �'4eis tn�nelud�,4au$na�Yaa�sted to walves,gaiPing walfs,fl+�ors or�e caarb sto�taqx ssad servdce 1is�e. !r�undersfiand 1 m also re
te�o8ataira a pee-aY�i�pr�o�r�o ar�y�eror�,if nec.assa�ye
S� � � 3c� _
�44�tA�i�+ECER iBEponqG gakt meterj `e L�� v�'
Riame: �f�� ���-i��� Address �(Q[,0� �� V"��
Pi�one Number ��� ' J�'"g��� Da#e "�'����f 7
��reature ,
WTfiness Signature_
Q������� � ����
OLD READt�1tG__ �`"[ �J ��
R1Eil�'M�'�R#
�y i 49062803
� -
=
IIIIIIIIiliiiiiiilllll E ~
���#" 1 1 71800558
�R1Di.EY�i'�'�t)DE
CEt,�►���02.1MA7'ER,STORM WA,�fS l�1N�SANI'fAR1(SEWEt�
ADAI!!!�1lSTRAl'dO+llt
�Ref Oc��Io 113,4�4,�65,56&,629,638,�i62,92Z,98$,i1�4,1256,1i91}
4Q2.5 PEEtMlI'FEE
Prior to conscructing vr repair of any water af server�irae wnnecting the�cistissg arsaniapal system and arry 4wuse or buflding for which#he
appJicafiion is made,the o�vner or corrteactor shall be required to obtain a permi�for such cormection,and siaall pay a permit fes as providec
�Cha�rter 1�of th�s Code. Afeer such connection has been made,fihe bUater and Sewer Departmerrt�a11 be raatfFied. Pc shatl be u�(arvfut to c�
arn/connecting dine urrtiJ an inspectivn�as been snade and such connectivn and the woric inaderrt thereto has been appro�d by fihe�ty as
proper and su'rCab�e connectiors.
40�A6 #tEPt�iR�APID 91OfAliU'i'E1YARiCE'i0 CONAiECTiON
After the inrtial connection has been made to#he water senrice wrb stop boec or tf�e sewer�ad at the property line or a wacer service lead�
beera exfiended to the prog�erty l�ne for cannection,fihe applicaRt,owner,�nr occupartt ar user oF such premises sFrali be iiabte for atl repairs
require�t�o any wa�ter(ine and sewer fines necessary far r.annectson of ttse premises from the main to the prem�ses. if the prope,ty�u,ner
reyuesfis mai+rtenance ser+rice or repairs be performed kry tEse�ty.t�ae property owner shall be charged for#he�osts af the malrrterrance and,
repairs,includ�rag r�n,c��a�y�eet repairs at a rate set annualfy 3ry an administratiue poticy. tt sha(f be tbe responsibil'tity af the app�jcarrt,
orvner,occupanfi ar user to perforrrs standard mairrtenance of the sewer service line frvm�te premises to the rnain dndud'tng de6ris ciearing c
�'oofi�utiang and to mairrrain the water service curb stap box for opera(a;lity and at such height as w7i ensure that�t rernains above the finisl�e
grade oF�he laacd or properiy. �Ref 638,1155,1191}