Meter Swap �
� Request Number: 16654
Public Works Division
Service Request
Problem Address: 4712 2 1/2 St Requested By: Rickard
Departmeat: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-780-6352
Schednled Date: 2017-OS-1 .� Schednled'Iyme: 08:30:00
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ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-08-10
ACTION TAI�N:
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5tatvs: In Progress Snbmitter Has Been r
Contacted
Date Completed: �,� '(�` l �j Completed by: '/
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d�vwe hereby aasfitsorize t�ve�afiy a�f��idiey andp�ar its�mpia�ees�o.do yv�afi is�eecessary.
a���taca�kae�r�r rnetar, 9 ucasP�rs�and thas the�roperty a±arne�ts�iable frsr the water iine#rorn the maira Lo�Fee pr�rnise and e�!�rater6or
��ara�bing, {Per�i#t{co�le A��.�6� �also�olc9 dae�"it+g.�F�dley and,�its empioy�es 3aar�nless#�r arey cdaoaeages that enay occur white doirtg�
�gea-at9on. �is t�in�a�de,9xut r�c�t lirnitesl to valves,�espir�g,w�lls,f�oors nr�se curts stap�ax and service 9ine, dn understand 3 am also sec
to�d,atain a�aerrnit�r�or�o aray w�orlc,if necessary.
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��ef Or�9�Eo�.13,46�,565,5��,623,53�,562,��Z,988, 11.44,1156,1191�
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� P�ior to canstructing or re�aair of any water of seyuer line connecting the existing rrounicipat system and ac�y house or buitding for whirh the
ap�aiication is rnade,tiae owner flr�rttrastor shall be required tv al9taira a perRnifi for such connectior+,and shall pay a permit fee as orvvided
�hapter 11 of�his�cade. €lfter such connection has laeen made,the'A/ater and Seuver 43epartmerrC shai(be notified. !t sha(1 be unlavufut to cc
an�connecting iine ur�taF an sns�ectian has beers made and such coraroectiors and the�,vor�C incide►rt tf►ereto has been approved iry#tee City as;
proper and scaitab�e�onnectiort.
Q02.�6 REP�,(t2S As�iD i4iAtN'�4�iANCE��iDN1UECTtORt
After t�ee initial connectiora has been rrsade to the uvater service curb stop�ox or ttae seurer iead at the�roperty line or a urater service tead h:
�een extended t�ths�roperty line for connection,the applicarrt,awrter,or occupartt�r user of such premises shall be liabie for ai1 repairs
requirec!to any water 9ine and se+,ver(ines necessary for connectian aF the prerrrises from the main L�the premise�., (f the property vwner
requesfis mairrtenance seruics or repairs be perfvrmed by the CSfij,the property owner shal!be charged for the costs of the mairrtenartce and�
repairs,including necessary street repairs at a rate set annuai(y�y an administrative poiicy. It shaft 6e the responsibiiity af the applicar�fi,
owner,occupartt nr user to q�erform standard mairrt�nance rnf the sewer service line from the�remises to fihe main includirtg debris dearing fl
rs�at�uttirtg artd tm maintain the urater service curb sCa�o hox f4r o�e�abitity and afi such height as wi(i ensure that it remains above the finishe
grade of�he(and or properky_ (6�ef 538,�355.3.191)