Meter Swap ,r
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Request Number: 13882
Public Works Division
Service Request
Problem A�ress: 6160 Kerry La► Requested By: Peter Morte�on
Departmsat: WA'IER Addres:: No adckress provided
Prablem/Issue: INSTALL AMR MET�R Pho�Number: 6S 1-503-7860
Sc6eduled Dats: 2017-03-13 Sc6edaled 1lme: 10:30:00
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ACIION 1�IEEEDED:
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Cr�ated by: Beth Koadrick Date Created: 2017'-03-07
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ACIION TAKEN:
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Contacted
D�te Compieted: �—'] Completed by: ��`�
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9/�v� herePoy authorize ttl�e�i�y of�ridley asec8/or a�ts empdoyees to�io�afi is necessaa
' * regslace#he wa�er�raetec. 1+unclerstand td�a�the pro{�es�ty owner as lia�te for�e�rafier lie�e from 4he snain to�ae premise and a11 interios�
ptnarrafsieag. �Per+C'rty cosie�2.�6� 3 also itoid tfie City rsf Fe�idley and�ts em�al�ye�s harmless�or amy�amages tfaat reaay�ccur�+hile�loirag
��er�ion. l'fiais to�n�lude,�eu$rao�dira�ited�o valves,p9Ping uvatts,#9ooss�r tiae saar�a sto��ox ared seavice lir�e. Ira�nderstand�am also se
te�o8a�aira a permi��ars"or to any�vo+�c,if�tecessarye
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F9Rir�NIETER READ1111G�ald meter� � ( ` � � �
fliame: _�� �'C� ��i'��S('/� Address �-C 1� v C� � �,
Phone tYum(�er�J!" �0 3� ! (/�`� DaDe_ � — 13 — C'�-T --
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C[-tA►�'ER 6402.YVA7'�K,SfOR�li!WAM�TE6�Alt1iD SItNiTARY SEd{/ER
ADNAlSU IST#iA't'S�L'Di1t
(R�Gard No 1.13,464,565,��6,629,635,�62,922,988,1144,535�,1I91j
4Qz.5 PE.RNtfi!"FEE
Prior to constructir�g or repair vf any water of sewer tirae�nstectjng t�e p�isting�nuniapai system and arry house or bu�lding for which#f�e
applicafiivn is made,the ownes or corrtractor shalt be required to obtain a permit for such wnnectiori,and s(�ali pay a permit fee as providec
Chapter 1�.of th�s Code. Afiter such connection has been made,#he Water and Sewer Depardn+errt shall i�e raatified. tt shail 6e un{awfvi#o c�
any conmecting!s'ne urrtil an inspectian has been made and such connection and tfie umrbc inaderrt thereto has be2n appraved by the�y as
oroper and sui�tab�e connectiora.
402.06 �tEPA1RS�111ID�1KAt4017'EfYAf�iiCE TO CONHECI'10N
Ait�er tJ�te initiat sonnecfiion has been made fio#he water service curi�stop box or�Che sewer fe�1 at�Jte propertr�iine or a rater service lead i�
been extended#o�t(�e property line for cons�ection,ti�e appiic�rrt,oaomer,or accuparrt or user af such premises shat!be iiable for eIt repairs
requ��'ed to ai'ry/water lPne and sewer lirt�s necessary#or connection of the premises from the main to fihe premises. if the properfy pwner
r�equests mairr�enance senrice or repairs be perfarmed by the C.ity,#he�roperty owsres shati be cfiar�ed for#he�ts af the mairrtenarn:e and;
repairs,includirag ne+cessary street repairs afi a rate set annuaily fi�t an administrative pol�cy. It shalf be i�e responsihiCrty o#ifie appt➢ca�E,
awner,occupar+t or user to perForm standard mairrtenance af the sewer senrice line from the premises to the main dndudirig de6ris dearing c
raofi cufiting and to mairrtain the water service curi�stop I�ax for operabili#y and at such heigtrt as wiil ensure Chat it remains above the finishe
grade of#he�and or property. �Ref 638,1156,1192}