Meter Swap Request Number: 14122
Public Works Division
Service Request -
Problem Address: 5251 Pierce St Requested By: Larry Case -
Departmeut: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 571-2922
Scheduled D e: 2017-03-24 Sc6edaled'Rme: 10:30:00
� 2 � �
ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-15
ACIION TAI�N:
�-w��-�, Gl�� �Uti�-
Stxtus: In Progress Snbmitter Hu Beee r,
Contacted
Date Coa�pleted: � «-a 1.f_.``� Completed by: `���
cJ
��;-
��.
9-�'9f3B�E'�, lV9�1C ��4.��
�53-s''�2-�S�S�
, 9��°� herefay�uthorize#tae�'rYy a#�rfdley andJar its ernpioyees#a sto w�at is necessaa
rege6ace t4�e urater rraetea�. �a�nderstand ti�at�he�ro�aes�ty�wnes�s�ia�le far ttae�rafier lin�from the snain tcr�e premise and ail interioa-
otaarra�sieag. (Per�Csty eode�2.�6� 3 aas��sois�the�"sty tsf F�edley andfifis em�l�yees harn�less#or any�lamages tteat rraay�ccur while�Ioing
o�sea�tian. l'Feis�o�nclucie,bu$roa�Siaa��tec!�o valves,piping,watfs,tloors or t�e�urb stog&aox aead service lis�e. In�nderstand�am aiso r�
to o�a#aira a perrn�t�rias tc►acay ws�r�C,i£�ecessarv,e
21�-- ��'?? loc� - O 1
������-ER�D�����,���r, � � l 3 �l � U �o �- � �o�i
�a�,�: ��,��r� c.�5� �d� ��s ( ��� s�.
Pteone 91umi�r' ✓�'�� �Z� Dafie_ ✓ ^ �� 1.�� --
S+gnrgnafiure Wiiness Signature �_
��; �v`
oz� ����� ��4-l� l�l2— �� �
OLD iiEADt�ItC � �� (� �
3
a „
������R�_��o c� a� �
�v�v��-- b
���# � � � a i a y� �
FRIUtEY�ill'V COIQE
Ct�lAi�R 402.Y6/ATER,S'�'Of�N!YIfA�'E�8�I1YD S�kNITAtt�l SEWER
ADM19►lIS�'RAT9CD�4
. �i��!`CDrd fiio 1130°l;YRy�V�y��g���p��qo�V�„����790p����S�i.J�)�7i�
402.� PERttRlT FE�
Prior to sonstructin;g ar repair of arry wa�ter af sewer 3iaae�connec�ang the exFsting muniapal system and arry�ouse or buIIdirig for which t�he
app(i+catifln is anade,the owner or costfiractflr shaii fae required to obtain a permit#�-such connection,and s{aall pa�a permi�fee as providec
Cha�rter 3a of#his tode, After such connection fias been rnade,#he Water and Sewer Department shalt be notfied. �t sEra!!be uo(awfi�;#o c+
ariy cannecting dine urrtil an inspection has been anade and such connection and ifie wordc inaderrt thee�to has been approved by the�ety as
proper and suiCabde connectiora.
40ZA6 �tEPAiRs d�lt�tD�+tAiN'f�fitARICE TO CONNECTIOfY
After the�nitia!connection has been made�o the water service curb stop boec or the sewer lead at fifie propert�lirre or a water s�roice tead f�
been exteraded#o the property lsne for mnr�ection,the applicarn,�rner,or uccu�raant vr a�ser af such premises sF►atl be 1'�al�e for atl repairs
required�to arry water l�ne and sewer(irtes necessary#or�connection of the premises frvm#t�e snatn to the prem�es. !f the�sroperty owner
requests mair�#enance service ur repairs be performed by t�e City,the property rnvner sl�aN 6e charged for the zosts crf the mairrter�ance and;
repairs,includirag necessary s�reet repairs at a rate set an�uai{y�r an admini,trative paficy. it s6a(i be fihe responsibitifiy�the appiicarrt,
owner,occuparrt or user to perFornn standard mairrtenance of the sewer service line from ihe premises�to the main dadudi�debris dearing c
roat cutCing and to mairrtain the water service curi�stnp box for operability and at such heigtrt as wiil ensure that it remait�s above the fin�.st�e
grac9e af the land or property, �Ref 638,1156,1191}
` �.:.4,-�'.