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Meter Swap ,� � 7� /..' �C� 3 � l Request Number: 16677 Public Works Division Service Request _ _ _ _ _ __ _ _ __ _ _ _ Problem Address: 7696 Vanburen Street NE Requested By: Aepartment: WATF,R Address: ( No address provided Problem/issue: P.�ISTALL AMR METER Phone Number: v ScheduledDate: �� Scheduled'I�me: �� ACTION NEEDED: Install AMR � � Created by: Jeannie Benson Date Created: 2017-08-11 ACTION 7'AICEN: . � __� �5�_�` . . .��_�.-....................... ....... . :....................................................:....................................................................._. . . :_ .............................. , , ��, � ' ;. 4.. :.................................................................................................:................................................................................................................................................_.._......................__..._..........____._....._.....................__..._._...____._._.__........._......_....... ::, ��� fi, � . ................_.-. �........._.... ............................ .. ................. ............. ...... ............ .. ...: .......................... ... . . .. .................................. ................................................„.......................... »....�. .. ............... .................... ................ .............. . ... ................... ....... ....................... . . ............................................... .... ........................ .... .................................................................... . .._........ .................. ................ .................. . .......... ......_............ ..�........... ................. ......._.............................. ............. ................................................................. ....:............. . .......... .............. .............. ....._........... .... ........ .. . ...... ........... .... ...._...._......................... ..... ........... ...................... ........................................................................................." .. Status• In Progress Submitter Has Been r, ' Contacted Date Completed: Completed by: � �— (�'1- I�l `T to�— �a�'��i��'9���°� � �i�i��'��d'���D��Za'9��'Oi t� t. �0�3�.�J�v�����a��1.���ta���� ���'7 Z 3Z�vd��� ������� �6+� ��.3� S�#�S'��a6 ��3-s�a-3��� a,��nre �Sere�awfi.t�orize the�ty ai Fa�diey a�sdJor its 2m�4o�ees to d4�er6ta�is�aecessar� a���siace�he�rater nae�taa-, �zas�sl�rs�and t�ea$the�aro�Oerts�owner as�ia�le far tt�e rvater�ine fr�rra t9se�rtadra ta�Fee prQretise and a8B�erter�or �8saaa�bing, {�er�it+�r.aat�e A��.�6� �aiso�SoBd ti�ae�'i�y�#�r�dtey a�d,�its empiayees 9aarrntess#�r arry darenages�'hat�nay occur arhite doing� og�ee��aQn. This t�incdaade,�t r�at lim+ted�vaives,�aipir���,raids,4�oors�r the aarb stap box e�ad serrice tine. dn ueederstand�arn also�ec ���t�#ain a pe+�s�ait�Sr6vrto aray�r�rtc if necessary. �9itt�.�1£TESi READIAiG(o1d rrteter� � �� �� Aiarxae• Address L ?� \ �O ��A�1 ��y fZ2A'� Phone�lumber i—� �� ��^ �� �ate � ��g� Witness Signatttre ��� �����` _ �� � � ���� ��� ������ ����2g4 �����-��� �Iq3S�� � � ��������� ��-�� 1� l `��IZ F4i8DL�C91'Y CCBDE ��Ir��R 4t3�.�/A'���,S�CD�l1i��1G'�l'�'E�E AR1D SA�V9'�'AR��'�E1NEit .�A�1V414►t�S�'&�A�'90Ri ���£or��o�23a 4�g ss5,566, 62�,s3�,��Zg��tg 9ssy Za.aa, 1��,�.14�.� 402.5 �El2MiT�EE � �rsor to constr!ucting or rQpair�af any�vater of sewer line connecting�he existing rnunicipal system and any house or buifding ffor which the ap�iication is rnade.t�re ownea�ar carrtractor shai!be required to abtain a permit€or such connectiorr,and sha(t�ay a permit fee as provided �hapter 11 of this�ode. Aft�r such connection has been made,the Water and Sedver DepartmeRt�hai(be natifiecf. it shai!be vraiawfut to a am,�coeareecting 4ine ur�t6t an ins}section has been made and such connection and tile jaro�?c inciderrt ttiereto has�een a�proved by rhe City as; g�roper and suitabie sartnectiort. �02.06 iiEA�1RS AsVD�r1AiN't'�l+1AiYCE TO�fll�tlt�ECT'fORt �►ftee�ttee initiai sonnectiora has been made to t�e water service�r1�stop 6ox or the sewer lead at the�ruperty line or a urater service(ead h: been extended ta the propes�ty line for conrtection,the appticarrt,�wner,or occu�aarrt or user af wch premises shaU be liai�le for atl repairs required to am/water line and seaver{ines necessary for connectiort of the prerrsises from the main to the premises. tE the property oevner �equests maJrrtenance senrice or repairs be�aerformed by the C'rty,the�raperty owrter shall be charged for fihe costs af tfie mairrtenance artd� re�aie�s,incladang raecessary street r�pairs at a rate set annualty by an administrative poficy. {�shafl6e tile respar�sibilrty af ti�e applicant, owner,occupant or user to�erforar standard mairrtenance rnf the sewer senri�ce line from the�remises to the main indud'eng debris clearirtg a a-�zot�u�ing and to rnaintairt t�re uoater;eivice curla sto�box for ogerabitity and at such height as wiil ensure that it remains above the finishe grade o��he ianct or prvpes�.y- �R2f 638,?.]1.56,1191) . 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