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Meter Swap L � Request Number: 14696 Public Works Division Service Request Problem address: 5049 Hughes Ave.NE Requested By: Willard Lamb Departmeat: WA1ER Address: No a�ress provided Problem/lssue: INSTALL AMR METER Phone Number: 763-784-9196 Scheduled Unte: 2017-04-25 Schedaled 11me: 02:00:00 "�UQS n ( .S�` �v► ACIION NEEDED:Tnstall AMIt Meter Come to side door at dri�eway by piclaup by the stairs to besement. Created by: Jeatmie Beason Dnte Creatcd: 2017-04-14 AC'IION TAI�N: I __.�Y�'��!.._t1.5.... ��yJ��- _....._.....__._._ __..____._ Status: In Progress Sabmitter Haa Been r. Cont�ttcted Date Completed: Completed by: � - ��-�� (' (a-r � �'��r� laere �y �ego9ac�t€�e�ora�er me�ea�_ �veaderstand i��ghe r� e �au�a:ho�ize�e�Cai��f�redle�arac8/�its ampdogees t�sTo uvhat ss ne� � P �y ownea�is�ia�1e far�l�te�va�Cer 8in�$rom�he anais�tD�ae�Sremise and all aartei � �s�aacrabieag. ���y���y�ode���.��� ��Ssm�SxsicB�he�'rtt��f�s�s!!e�and�"rts�rri�ltayees�Sasrreless for any�iarnages�aat rxaay�ccus�aiie�!� ��eratiora. �'fass��nsiuctep�a�xg�e��,8asa�€�ed�o sralves>�lpirag,hvradts,�4+ncsrs�s�e�ur8�sto�s&aox arad servece lisee. &ra�ee�derstand�am al t�ota�aisa a�e�i��rs"oir�o aray�r�a�,��setessara�e �05-- �s ��oc�� o`� �����m���a�r�,��� � S�# 3� � 3 9ltame: U�l � I�� �br,iJ O t Ac(dtess Plao�e�tum�r �10��' �$—6����g��_�' L.J — l / Sigreatu� ����� �—� ������ ��� � d���? OLD i�EADt�1fG_ V � � V �C� 3���R/�►l�'E[�#��� ��J � . NE1�" _ � ���-�7 2 22 � ,� 3� . F4��[�LE1t�1�(C�i�E �FiA�'��2.Ylf�1,7'riZ,5C�1f88�WA,�4��1N�S�ki�l"fA[iY SEWER ADi�11lt��S'Cf�AI'i�P ���o��o�z3B�p��,��g si�,��,��2,�,�ss,ss�ca,u�6,��.� 4t)2.5 PERAH!"�'FEE Prior to cor�s�ructirrg or repair af any�rater aF sewer�ine connecting tdze enfstir�g rnun&a�ttat system and arry�t�use ur 6u7ding for whidt#f appJicafiion is az�ade,t�ae owner or corafira+ctnr shail i�e requ�red i�obbin a permi�t for such connection,and s(aatl pay a,permii fee as provi Cha�zCer��vF�his Code. After sracfi cor�ne�tion has beer+made,the�It'ater and Se�ver�epartment shaD be no�fie+d. tt sha11 be antadvful t arag connectirtg dine urrtil an inspection�ras 3�een anade and such cos��ectaor�anst tfie w+or�c inciderrt thereto has�en aPP�d by fihe C�ty pmper and suitab�e connectian. �.06 �Alii�a!l6tt��iA1NTEAtlWC1E TO C�1ECIiCAv �4fter the inr'ta'a1�onnectiora has been made to#he water seruice curb sto�a bax or�e sera�er�ad at fihe property iine�r a iraber sernice�ea• beea exfiended to fiFse property fine#or cons�ection,t�e ap�carrt,oavner,qr occaparrt a�user vf such premises�iall be 1'ara�ie faraJi repaic �equire�i to arn�water line and sevrer lines necessary far cunnection aF the�remises fram t�e ma�n to the premises. !f tl�e propeRY owne� requests mairr#enance service ar regairs be perForn�ed by�he City,i�ae properrfiyy onvner shat!be charged for�he�os-�s o#the ma�rrtecrance a repairs,inciudirag necessary,treet repairs afi a rate set annua�ly�an adrs�inistrati�re poticy. #t sl�af!be the spsporrs�Trty o##�e al�pl'icarrt, owresr,occuparrt or user tv perForm standard anairrtenance of the seuver seruice lfne firom the prem�ses#o the main arsduc�f�def,mis dearir roo�t ccetting arsd�o mairrtain the water service curb stog 6ox for operak►iliiy an�at su ds�eighY as wr11 ensure that�t remains abwe the flni: grade af the las�d or�'operty. �Ref 638,Z�5�,,1192� � � %ffi�"� . .%��-,`�"f^4��` � mJ �;-�°;-. " 7�` ���. t-�� 1�Ta�`f�'� :1' ^� .�b. �m ��i • i:. , , . '- .. ". � ., �. � . 6 a > F .< % ,. ... .� . . P.�`.J µ..(_� Nafie ' ''✓"� Date_ . ���1��-�� Old Meter Number �"'""'�' �gv�,��j'y�_ Old Meter Readinq �^ ` 3, � Replacement No. �,��' Replacement Reading � Replacement Make � �°'� Remarks:������ `���'�� yy1�� . � _._.. Signed -�'' --�--