Meter Swap ,� Request Number: 13743
Pubhc Works Division
Service Request
Problem Address: 143�erry Circle Requested By: Bruce Anderson
Department: WATER A�ress: No address providad
Preblem/Isaue: iNSTALL REGULAR METE1t Phone Numf�r: 163-232-2538
Schednled Date: 2017-03- 9 � Sc6edaled T1me: 08:OO:Off
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ACIION NEEDED:
Crexted b}T: Wenc�y Hiatt Dxte Cre�ed: 2U17-03-Oi
AC7ION TAi�N:
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St�ua: 1n Progess 5nbmitter Has Been �,
Coatacted
Date Completed: Completed by:
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. f,�a� her�6y autS�osize ttae�City af.�ridle�and/or its empd�yees to do rnr�at ds necessae
rega9ace the�era�er�sa�er. �aanclerstaead�at kiae prope�tty owner 6s liakrle fa�r�e�vater iie�e�'vom�he anaie�to�t�ee prem+se and aiI irrterior
` �furra3sing. (P'�r�"�#y sosle��Z.dB6', 3 a�s�ksoid the�"rt�j r��srddley and/its em�loyees harsnless for any�lamages tftat reaay�ccur�rrhle�loing
• a��aecation. �ta9s�o�nciudea�aur�raot 6iaa7nted to valves.p�Ping.wat[s,flooss��#he cearFa stap kaox aead ser+rece 1ir�e. In understand�am also a�
t�o o�#aira a persnit�ar�o;r to a'ay�ernr�,if�ecessa�ye
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5�grcature Wiiness Signatiure
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FRlDC�Y C(�'V Ct?i?€
CE9A�'ER 4U2.1M1#TER,STOfiM WA�'ER AND S,A411ITARY SEWER
arn�narsT�„a-n�
��t�Orc�Nv 213,4+�4,565,,fi5,629,638,�2,9�2,988,IS44,I.ISfi,1191)
402.5 PERMiT FEE
Prior#o constructing or repair af any arater af sewes��ne connecting the ex�sting muniapal system artd arry fiouse ar bu�tdis�g for w�ich the
applPcation is made,the ownes oc cvrrtractor shati be required to obfiain a pecmit for sur.Ei connec�iora,and sF�ali pay a permit fee as providec
Chatrter i�.ofF�his Code, After such connection has been rnade,i�e Water and Sewer Departmern shall be notified. �t shail6e us�tawfui ta c�
arry connecting dine urrh'!an inspectivn�as been anade and such connedion and the+ararbc tncideat thereto has been approved by the C'd;y as
proper and suitable connectiara.
�OZ.Q6 i�EPA1#i�ARiD+�fAilYTE1MAPICE TO CONf�1ECTi0f0t
AiFter the initia(connection fias been made fio the water service cucb stop�vsc or the sewer lead at ttte property lirte ar a rrater serrice�eac(tt
been elctended to the property line for connection,tfie appfiiprrt,ovmer,or accu�rarrt o�r user of such premisF,s stsaft be i'�ai�1e for�fi re�irs
required�ar�r rvater dine and sewer lirtes necessary#or connectson aF t�se premises from the main to the premises. 1f the property o�mer
requests mairetenance service or repairs be performed hy the CFty,1�e property owner shati be charged for#he cos-ts a€the mairrternance and;
repairs,inctudsrag necessary strQ,e��epai�s at a rate set anaua�Iy by an administra�ive poficy. ltshait be fihe sespons�i(ity o#the appGcarrt,
owner,accuparrt o:u,ser tv perforn�standard mairrter�nce orF the sewer service l�ne from fihe premise.s to fihe rinaia inciuding debris dea►3ng c
roofi�ufiting and to mairrtain the water service curb stop box for operahili#y and at such hesgfit as will ensure that it remains above the finishe
gsade of fihe land or property_ (Ref 638,1156,1191a