Meter Swap �Ci����0��9�� �� 7 ��l/ '/7 / v � ��
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� �43�.��av�rs�ty Av�nsae�7E �� �'./��'/
Frat�l�o�,�6� 5543�
7S3-S�Z-3�6�
�J"v� hereby authorize the City rrf Fridtey aacljor�ts�m�4ay�es to do what is necessary ta
r�piac2 the wat�r rne�t�r. ��aader�staead that the�roperty o�arner is 9iable for ti�ae w�ter line from the rrea6re ta the prsmise and ali irster6or
�9ura�fair�g. {Per�Lr'rty sode�Y.�6] t aiscs�oid the�'��f Frscltey and�ts employses haranless for any damages that enay or,tur while doing thi:
o�eratione Thls to�nc6ude,�eut raot 9trt�ited to�raives,gssping,watts,floors or the r.urb stop box and service 9ine. !n understand I arn also requi
to abtain a pee�nit praor to any wortc,if necessary.
F�NAL METER READtNG(Qid meterj V � L ��
Alame: ��1 cJQ.�� Address �� L/► �� ./ •
P4sone�lumber 1� ` �U�'— tJ� / pate _ U `r � l �" � 1
�Signature Witness Signature
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1r9E� READINCs �
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FRiDIEY�9T!�ODE
�19�iA�'E!t 402.P����ER,ST�R�111�AlATER�i�iD SAPfiTARY SE4NER
A�11tl61V�S7RAT'40N
(�ef Ord No�.13,�4.,565,a66,624,538,652,92�,988, 1144,1156,1199.} ,
402.5 PERMIT�EE
� Prior to�onstructing or repair�f any water of sewer iine cannecting the existing�nuniapai system and arry house or�uiiding for which the
apptica�ion is made,the ownea�or cor�tractor shall be required to atrtain a persnit for such connection,and shail pay a perrriit fee as pro�ided ir
Cha�ter 11 of this�ode_ After such connection has been anade,�he�1/ater and Sewer Depae�tme�shall be notified. it shall he unlawfui to c�v�
any conaecting 4ine unti6 an jnspectivn has�Seen roade and such cortnection and the�vork inciderrt thereto has beert approved by the City as a
groper and suitab(e connettiort.
402.06 �tEPA1RS AsYD MAINTENANCE TO�ONNECTtON
After ttee tnitiat sonnectiort has been rrtade to the water service curb stop box or the sewet fead at the pcoperty�Sne flr a water senrice tead has
been extended to the property 9ine for�onnecfiion,the applicarrt,owrter,�nr accuparrt ar user of such premises shalf he Itabte for ait cepairs
reguired to any water line and sevver lines necessary for cortrtection of t(�e premises from the main to the premises. If the property owner
requests mairrtenance service or repairs be perFormed by the C'rty,the property owner shall be charged for the casts of the mairrtenance andJa
re�airs,inctuding necessary street repairs at a rate set annuaf{y tiy an administrafi.ive polity. Ifi shall be the respor�sibility of the appliprat,
owner,occupant ar user Yo perform standard mairrtenance of Che sewer service line from the premises to the main including de6ris clearing or
root�c�tting end to maintairt tl�e+ncater service curb stop box for operahitity and at suc{s height as will ensure that it remains ebove the finished
grade o#the fand or property. (Reff 638,37.56,1191)
a �
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Request Number: 16529
Public works Division
Service Request
Problem Address: 627 Cheryl St Requested By: Joseph
Department: WATER Address: No a�ress provided
FroblemJjssue: INSTALL AMR METER Phone Number: 1-512-203-9849
Scheduled Date: 017-08-11 Schednled'ilme: 08:30:00
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, � � 8±3�
A(,TION NEEDEDc
Created by: Wendy Hiatt Date Crexted: 201?-08-01
ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
Date Coa�pleted: � _ ' f ` I� Completedby:
Hours � ���