Meter Swap • ` Request Number: 14210
Public works Division
Service Request
Problem Addreas: 5217 Taylor St Requested By: Jason
Depxrtme�: WATER Addreas: No address provided
Problen�/Iss�: INSTALL AMR METER P6oae Number: 932-484-6038
Schednled Dite: 2017-03-27 Schednled'Ilme: 08:00:00
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ACTiON NEEDED:
Crested by: Wendy Hia�fx Date Cre�ed: 2017-03-20
ACTI N T .
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Stntus: In Progress ����r Hns Been r
Coututed
i?ate Completed: Completed by:
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4Q2.5 PER3bT9�"FEE
Prior to constrtacting or repasr af ar��water of s�,ver�iase connec�ing tFse existing municipal system and arry i�ouse or busidirig fo�which#
�ppJicafiivn is made,the ownes or corrtractc�r shall6e requiced t�o obtain a g�+errnit fcar such wrmectiora,and s(aali�ay a g�ertni�#ee as provi
Cha�reer 3.1 of this Code_ After such connection has t�een inade,the�itater and Seaver Departmerrt shalt be�ao#fied. tt shap be un(a�rful t
aray co�anecr.a�g dine urrh7 an ir�spec3aor�has i�een anade and such connectian and i���ror�c in�iderrt tta�reto has bee�e aP��+�bY i�te Crty
proper anti sui'tatb�e cannectiara.
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After the�niCia#s:onnectivn has been made�#�e wafier seruice curb stop bac vr�tFse sewer tead at the prope+rtY iirte ar a ara�r service 1ea�
i�eera exfiecas{ed ta it�►e propertq line for conraectiarr,the appiicam,owmer,or accu�ras�t ar user oFsuch premises shaJi be i'safNe far atf repair.
requirea�to ar►y wrater line and sewer�ines necessary#or connection af the premises frorn�e maia tb the premises. !f the psaperty awneo
e�equests ma�rrtenance sesvice ar repairs f�e perFormed 6y tfse�y,t�ae prope�y owrrer shati be charged for�he�s o#�t[�e mairrtenance a
repairs,inclu�rag necessary street repairs at a rate set annuaity�an adnninistr�ti�palicy. �t s6atf be t�re s espons�ii"rty a#the app�icarrt,
muner,oscu�arrt c�r usee-to perform standard mairrten�nce of t�e sevrer seraice l�ne fsarn tFse premise.s to the�ain 3nciu�rig debris dearir;
�-vo�cu�tang and to mairrtain the water service curb sfiQp box for�peraiaslity an�at such�eight as wi�l ensure that it remains abave the fine
g�rade of fihe�and�or vropertY- (Fie�f 638,ZiS6,1191�
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Dat� [O�tb�vv�
Old Meter Number �,� � � oti
Old Meter Reading � � � �
Replacement Na �� t � �j� �
Replacement Reading S�
Replacement Make � � �
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, Replacement F,]3:�:�:::�µ�-��"'`�'"'��
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Signed