Meter Swap ,
, Request Number: 13642
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Public works Division
Service Request
Pro�em Addreas: 1016 Hackmann Circle Requeated�y: Renee Frick
Departmeet: WATER Addresa: No address providad
ProWemltssue: INSTAt.L AMR ME1ER P�eee Nnmber: 1-710-240-7341
SeLedeled Date: 2017-03-01 Scl�edded 11�e: 08:30:00
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Created by: - Wtndy Hiatt Drt�Cre�eds 2017-U2-24
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ACIION TAKEN:
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Shtus: In Progress Sabmitter Haa Beea �
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D�te Coeipletedc 3 — [... 1� Completed by: t ��
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�.o�1P� her�by authorize t14e�ifilv�f�ridley and/or its empioyees go do what ds necessary
re�lace the water�neter. I vnderstand Chat the�ropes�ty nwner�s liabie fa�r ti�e vvafier line#rom�he main To$he premise and all icrterios
� pfaarratsing. {Per C"rty sode 4�2.06) 3 a6so�tolc!the�t�+�f FsBdley endJ'rts employees hae�mless for amd damages tfiat rraay occur imrhite doing t
o�ea�aan. 1'h+s�o�nctude,4�u�rso�8iea�s#ed to valves,piping,�raqs,f400a�s�r the cearix stop droz and senrece fr►e_ Ira understand fl am a(so a�ec
tu ota#aira a permrt�eriar to ar�y�ror4c,if ssecessan�.
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F91V�111.fiAETER REA�1NiG g�(�meterj_� ��(/`-� �
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Phone Afumber � �U'`p� ��� —�3�� Date J��"' 1 �
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FR1DL,�Y Ct�'1l CC�D�
CfiAP�!'EK 402.i16/ATEti,S"!'ORRV6 WA�'E4i AND SANITARY SEWER
ADMI4�1IS9'RATION
(Ref Ord No 213,464,565,566,624,638,662,9�2Z,9$$,I1Q�4,1156,1191}
802.5 PERMiT FEE
Prior to constructing or sepair o#arry water aF sewer�ine connecting the eRisting snunicipaf sys�tem and arry house or buitdir�g for which the
application is made,fihe awner or corofi actor sha[[be�uired to otrtain a permit for such connection,and shall pay a pern�tfee as proy�cled
Cha�rCer 3.1 of#his Cade. qAfter such connection has been made,the�Itater and Sewer Departmerrt shall be notified. tt st�alt�e unfaarfvi to co
ar�y connecting tine urrtil an inspectson has 6een made and such con�ectaon and the war�c incadent thereto has been approv¢d by the C'�ty as a
proper and wstable connection.
4tl2.06 REPAiRS ARID�ItA1{Y7'E(1(AfyCE TQ CQNNECTION
After the in'rtia!connection has been made to the water service curb stop box or the sewer lead at fihe property I�ne or a water sen�ice iead h�
bee�a extended to the property line for connedian,the applicarrt,owner,or o+ccuparit or aser vF such premises sF►a!1 be lfabte for all repairs
required to any wa#er dine and sewer lines necessary for�connection of the premises fram the main to the premises. tf the property awner
requests maizrtenance semice or repairs be perFormed iry the Ci�.y,the proper[y owner shall be d�arged for the costs af�e maicrtQnence andJ
repairs,including r�ecessary stseet repairs at a rate set annually!ry an administra#ive�solicy. Ft shalf be the responsbii'it�►aF the apprcant,
owner,occuparrt or user to perform standard mairiteriance af the sewer serv'rce i+ne from the premises to the main inciuding c�bris dearing o±
root cutting and to mairrtain#he water service curb stop box far operabili#y and afi such height as vriil ensure that it rernai�a6ore the f[nishee
grade of the tand or prqperty_ �Itef 638,1156,1191}
�t�quest f+�r '�rv�: R:
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