Meter Swap , ..�c��� �"`,1,c��� ���'�� /�;��;���
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Request Number: 16730
PubGc Works Division
Service Request
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Problem Address: 5069 Ctearview Ave.NE Requested By: John Skyberg '
Department: WA'I`ER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-327-3506
Scheduled Date: �I Scheduled Time: �
AC"I70N NEEDED: Instaii AMR
Created by: Jeannie Benson Date Created: 2017-08-15 ��
ACTION TAKEN:
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Status: ln Progress Submitter Has Been �..
Contacted
Date Completed: � � ^ � � Completed by: t [, �
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�,'"/� i�erebv,�aastlaorize the City o1F�r9dfey arsd/or its�mployees to do what os�eecessary te
replace ttse water meter. !�raderstand#hat the�ro�ea�ty r�wner is 9iable Por the r�rater line from the mairs to the pnertrise and ait�rrter�ior
�slue�aibing. {Per�'rty sode 4��.�6� !etso hold the�ty�f Fe�dley anctJ�ts employees harmtess for arry daenages that may pccur while doing Lhi;
o�eratian. This to include,6ut not�imited�o vaives,piping,vua4#s,floors�r fihe curb stop bax and sertrice iine. in und2estand!am also�qui
to ssbtain a�aerrrait�rear to any wor[c,it�ecessary.
FgN�t MEecEtt REauet�G(oid meterl V V�V�
Name:__ CS�n 5�4 C�� Address_ ��� ! �t C.�A��'b�
Pl�one Num r (�,Jd. /�a �O pat�e �"� "�l
�(Sig�e Wr'tness Signature ��
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�R�f Ord Naa�.13,46+�,565,5fxf,629,538,662,922,988, 1144,1156,1191�
4Q2.5 d�ERMiT FE�
� Priar to sonstructing ar repair�f any water of sewer line connecting the existing muniapal sysCem and arry house or building for�rhicft the
application is rnade,the owner dr eontractor shaii be required to obtain a permit for such connection,and shafl pay a�ermit fee as provid�d ir
�hapter 11 of this�ode. After such connection has been made,the Water and Sewer Departmerrt shail be notified. it shalt be uniawfui to crnn
any connecting tine s�rnil an inspection has been made and such connection and the�vnrk incident fihereto has been approve@ i�the Crty as a
proper and suitable connection.
402.�6 �tEPAiRS A�tD MA8F11TERIANCE TO CORlRtECTfOIV
After ti�e�nitiei�onnectior►has been made to the water senrice curb stop box or the sewer lead at cfie property�ine or a water seroice tead has
been extended to Che property line for connectiort,the applicarrt,awner,or occuparrt or user�F such premises shall be liabte for ail repairs
required to any water line and sevver{ines necessary for cortrtection of the premises frvm the main to#(te premises. tf the property owner
requests rttairnenance service flr repairs be perPormed by the Caty,the property owner shall be charged for the ca�ts af the maint9enance andJo
re�airs,including necessary street repairs at a rate set annually by an administrative poticy. It shail be tF�e responsibil"rty of the appliraret,
owner,occupant ar user to perform standard mairrtenance of the sewer service line from the premises to fihe main induding debris dearing or
root�utting and to maimain the urater senrice curb sto�box for operabitity and at such height as wilt ensure+that it remains at�ove the finished
grade of�he land or property. (Ref 538,1956,1191j