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Meter Swap � �ti. f Request Number: 14131 Public works Division Senvice Request Problem Address: 655Q Lucia Ln Requ+ested By: Dean Thomas Departmeut: WATER Address: No address p�ovided Problem/Isaae: INSTALL AMR METER Phone Namber: ?63-574-d457 Schednlc ate: 2017-03-23 �ScAedaled'Iime: 11:00:00 � � r ACIION NEEDED: Cres�ted by: Beth Kor�drick Date Created: 201?-03-15 AG7ION T.AI�N: � ��ti �� Status: Tn Progress Snbmitter Ha�Beea �.. Contacted Date Compteted: Completed by: �v�-�Z� � 1� T I�� a ai.a—..r e r—.a.y snK� ��AAPi her�6y au�fio�iz�#�ae Gi�o�F�r�dley anc%'or ats empto��es to slo�r�hat 6s nece �egv4a�e t�e aaea�er rrae�es�. ��aaadsrsiasacl td�at gE�ae prv�ea�obvnea��s diaP�le fos�i�ae sarater�irr�£e�nrn�ise anais►�i4aQ premise and all iamer �txa�azb�eeg- ��r�C"rty sos9e�2.�6� �ads��5�9�!kfie�'rt�j o#��esdley andJfrts gm�luyees h�m�eiess for ar�y�Ia�assage��eat eraay�ccdx€xr€a7e�c . o�ea�as�_ �'fsis�o's�ci�er4e,iau�nc�a�daaas's�ed��4ralves,gaiping,�ratls,f4saoa�s or�4ee caard�sto�s�ox�ead seavece lisee_ tee�uazcdea�stand�am ai: to a��aira a pe�nit�ar�o�r fio asay�ror��f�secessas�ya 2� � L-( �l � ��-- � I ��ra�,��-1 �,� � � ,sc� -� 3��--3 ��,�• X.�,�1, � I `�;��'1'11�,,�j �ca��`J c�� ..—�'��.-- �Yt I'�70ifE�fUiri�9'�y�r��— � + ?j"l'� � / � v Sigataistre �� [� ��a , O�R�l�� _ � r �� v�O ��.�`��n T✓�� ` � �.�� 91��1�C�D� C�p1��i Q+�Z.�9I�ia�L��$��oaii6�:�li G�$��S��e��{/ER ADl�!CN'�S�'R�i��l1F ��$�O�cy�s,��g sas,s�s,ss�,�,sss,a.a�,�as�,�z) �oz.� ��tt�nr�-�� Prior to constra�cCing or repair aF er�y water af sewer�iaae con�aec�g tFse ecfsxir�g rrrunicipaJ sgsterrr and a�ry�use o��iiding fvr which� appticatiivn is rr►ade,the oamer or carnractor shaii be required tio ol�fiair�a gOerra�s's�fcas�stirci�conr+ecLtion,and sfaa3l�tay a�rermit fiee as provi C�Sa�ter 3.�of this Coct�_ After such connection�as�een inade,#he�lafier and Sewer Departmeart shald�e saofisfied. it shail be unlaarfu!t aray consrecCing dine s�nti!an irrspecfiiora�aas 6een anade and such connsction and#he war�c inaderrt the►�eto has�en aP4x'naed by fifse Csty proper and suitabte connecta��a. �A2.D6 �EPASIR�S�R{T9�Ali�iTE�fANCE TO CONNEC770N �:er the initia�soRnection fras beera made�n#he�arater service curb sfiop i�c�c or tFse seaver tead at fifte propert�iirse ar a arater seroice iea� beer�extended�o�tie property line for conr�ectian,the app�icarrt,omrner,ac uccupas+t ar�ser aP such prem�ses shall be I'+at�le far ati repair. requi�e+d to ar►y w�ter line and sewer lines a�ecessary#or connectio»aF fihe premr'.ses frorr��e rnatn�Co the premi�s. if the property awnei �equesis ma�r�#enance service vr regairs be perFormed i�y tfte Cr�y,�4ae pro�Oe�rtty awner shali t1e rharged for the�s uF i�e mairrCer�ance a repairs,ind�t�rag necessary,treet�epairs at a rate se�t arsnually i,�an administratiue pot'u.y. ft sfialf be i�e�esponsibii"riy o#the applicar+t, o�,vner,�ccu�raaraC cxr user to perform standard maintenance af the sevrer seraice line fi�om the premises to tfie main��rig detnis dearin rvot cutiang and�o mairrtain�he++va�ter service curb sCog�ox for o�erahitity and afi sucfi beigfit as w�i ensure that�t r�rstains ahaue fhe ffr�i: gra�e 4f�e land or properlY- �€ie+f 63&,1156,1191� Reqt�est f+�r �n�ic� �t+�p�►rt . � City of Fndley ��,��o: s��-��-�ta a��: 7v3,�zo» � �,�� r�,.��«� �rn�d eY: w�� c��: �r�c� r��,r��,�: �-�c�,� Addreas� fi550�UCtA LN ME Ca�ack Phane: 7G3-2�&7217 Sc�l�ei Date: 1Q/5�fZ�11 9�!W ��- Property Owne.r: l.oca�ic�n Det�s; PerrrrR#�Ol l-(��2 � Details: SFa� w�er af�r7eave Icep """�ilt""' Adion T�,en: � —� sh�� ! �'. �,'�R (�.- /.��'�-` ��y �vr' ��''��,�� ; � � � � : 1 I � � � i i � � � E ; 1 I i � l � � � � i � � ; � � � __. _ _ _._..... _. _ _ __:E Respa�r��le P+�rson: � ( � _ � �(�,� __ _ __ .1 ��: c�,o��: � c�;��,r��d �� ' _-`� `l/ '