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Meter Swap Request Number: 16636 Public Works Division Service Request ��dress: 4644 2nd St Requested By: Don Frank � rtraent: WATER Address: No address provided /� Problem/Issue: IN5TALL AMR METER Phone Number: 612-385-7336 Scheduled Date: ZOI7-08-I Scheduled 13me: 02:00:00 �� (`� �._ ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-OS-09 ACITON TAI�N: .._..............................:"�a.��.�l�e��_.......................��.�-v..._.___............_��.. 1��_. _._..__.__.. �� ........................................................._...................._......_.._.__ __.._...�..�_........................................._._.........................................__..............._ __._. __._ ___.._..__.. Status: In Progress Submitter Haa Beeu r Contacted Date Compieted: Completed by: `�` ��1— �� .' i G��°��ra�d��y �� ( — 7 Y'��s%�� Z ��E��a��e��a��a� ��:3�. �l��ar�a�sai^�a��r�ra�� /� � �j� � � ��-��i9�e�� t+� ��#�3� J � � 7�3-��-3�� i�v�r� hereb�asatharize tEae�ity of�r�diey av�d�or its�a�e�sia�ees�o d�a�er�sat is�e�ssar� �e�aiace�he�rr�r�aeter, ��e.cad�a�ans3�aat ttee�re��Oer��ownea�is�ia�1e fns-�he water line fr�rn tt�►e�raain�the orQse�tise and a8t�eats�or �1uaa�t�inge �Per ti#y ros#e��.�6� 3 also ho��t�he�6�fiy�Fs�etdey�sa�d,�its empipyaes harmtess#er arry da�ag�s r,ha�enay occwr whi�e dofcrg�; ng�ec�t9�n. '9'his tca an+�a�de,�e��raat�irr�'rtesl2o valves,p�oirag,wa19s,�oars or t�se curb sta�O�ox ara�serv�ce 9ine. �n undea�stand�ern also��c �o��tain��er�mit proor�o ara�w�os�tc,if ne�ssary. �9i�,�9�1�9�Rf�llK� id meterj � "� t�� V �iarr�e� �1,- ��l � �j �d��, '��-'� �?, 5� Phone� mber � � � � � �� y�' �� Sigrsature t�ls'ts�ess Signature �,_ �LL� �1r1E�lt#_ � l � `—' Y/� �L� �� C�3� � Ge c� ��-�� C.,�� ` ir� 'we�5 33� 3 a�3�'� �� a� � � � F�t9�L£'�£�'fY'�ODE . � 1ii9�i'd'�,99�d.e VV9y1�51q,79�HS7r9 YY��dO 9'U�i��'M'�0�!'Sf\i .7�YY�L99 . �998Y910�!'�65Pl�@V9r ��f�r�t 3�0�.13a 44�,565,5��5299 63�,662,92�,988, 1�.�4,1�56,119�� 4a2.5 9�E4tNt13�EE � P�ior tm�onstrs�cting�r repair a�f any water of;ewer Iine�onnecting the existing rroun3c��aa1 system and any house or buitd'ang#or w6ich the a�apiication is rnade,#�e owner mr somaactor shalt ise required t�c(gtaira a�ermit for such cvnraection,and sha}I�ay a�era�ix fee as pr4vided �ha�er 9.1 of this�ode. Afitee-such connection has iaeen made,ttae+Nater and ievver 4?epartmerrt shail be notified !t shatl be uniawful to cc amp�onnecting line uarCit an ins}�ectiorr has�een made and such cannection and tlae+aork irtcideret tfrereto ftas l�eert appraved by the�'ifiy as� gsroper and suitable sonnectiort. 402.�6 R�PAIRS A�ifD MA84V'�'EAIANC�T�CON{1iEC77Qltt A�er tt�e�n)t�aP conaectIon�as been made to the�rater service curi�si�p�ox or t�e seuver tea@ at the�roperty line or a water service Sead�: been extended fio tfae�roperty tine for canreection,the a�apPicarrt,�wrter,or occu�aacrt or user�F such premises sha11 Iie liabte frn a(1 repairs required fio any water iirre anc!se�vver(ir+es necessary for cvrtr�ectiorr af#�e prerr�ises from the+nain to fi(ae premise�. !f the prv�erty owner rsquests rnairrteRance service or repairs be perFarmed S1y C�re�ty,tf�e�roperty owner shalt be charged for the c�sts of the rrtair�terrartce aad� re�airs,includFng eaec�essary street,�pairs at a rate se#annuaRy�y an administrative poiicy, I�shaN be the respoasit�ility af the appticant, o�rner,oceupant ar user to�aerfarrn startdard mairct�nance of the sewer serrice line frorn the�a-emises to the main irtdudar�debris ctearirtg a r�aot�cu�ttir�g and to�rrarntain thre�srater servics curb staQ 6ox for aperabi[ity and at such iseight as wi�l ensure ehat st rernai�u above the firtish� grade nf the iarrd or�aroperty- ��f 638,Z..'9.556,1191j �; ' , ^., ";��+ �;,� Lc;." � r .�`�i.,r�r x `A r` °�y �" . � � �� ,_ 9 � � . � ��t� �a� Trf.dl�y N�ter Dar�artment Address,L �C� t"1 �I� 5� Name �� Date Old Meter Number '-{� q�_. old Meter Reading � Replacement No. ��J��" ��9 Replacement Reading � Replacement Make �E�- Remarks: �`TbQAZ� (Y��7"�-- Signed ��