Meter Swap � ; � ���- 'L- ' i ��
� � � ��
Request Number: 16669
� Public Works Division
Service Request
Problem Address: 100 Pilot A�enue NE Requested By: Brett Bernhartt
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR ME1ER Phone Number: 763-781-9405
Sc6edWed Date: ��N/� �heduled 15me: -
ACTION NEEDED:Install AMR
Greated by: Jeazu►ie Benson Date Created: 2017-OS-10
� ACTION TAKEN:
QLD METER NUMBER: ��' ` ✓� I ���1� " `' �
................................................................................................................................................._.._......_.................................�.......1,�:........................................................................................._�......_................................_......._..._.�__......_.
OLD METER READING:
..................................................................................................................................................................................................................................................................................................................................................................................................................
NEW METER NUMBER:
.............................._.............:._.............................................................................,................................................................................._...............:._..............,............................:........................................................................................................................
NEW METER READING:
.............................................:.................................:.............:.................................................................................................................................................................................._......................:._..._...............................__........�_.._.___.._M_.._...._.__.__
.:................................................................................:............................................................................................:.................................................................................................................................................................................................................................
Status: In Progress Submitter Has Been �...
Contacted
Date Completed: Completed by:
�-� � i--� j �°'�---
°�
� �� C������a�9�e�! ,�/ U
�#�i'����'�e�D���9��'�'+t �tJ� — ! ��I —��
��3�.�l�aav�u�s6�P�,��rae���V� �� .1� J'�,��
�������� �6+� �s�3�
7�3-��2-3���
���;ve here�q/aa,a�horize the�ty a�Fridfey aaad,Jar its em�o�o•�ees to do�nrhrat is�aecessan�
a��iace the,nr�r rne�tar. �a�sadea-si�anc3 ttsat the pr�perty owne�ss�iaisle far t�se�rat�r iine frorra�8ae�eaaira ta Che orQr�tise and aIt�eater�or
�sfaaa�abimg, {per�ifi�coste 9�C.�6� !a�sca�08�9 t#ae�'�of�dtey ancd�is ernpioyees�arQnless f�r arey dae�oages�at rnay occur w4aite doing�
��e��taon. "�9�is L�inc9ude,be�t raot�imifie�9�valves,pipir�g,Txa9ts,�lQors�r�se curb stog box anc6 se�rice 9irte. dn undea�stand�am also�c
����rtain a�aea�ait�r�or�o a�ay w�or(c,it necessary.
�g��.���� a ��o��m��� I� 3�t �
�a��. �- ;
��d� 1C�0 1�� �re._
PQ�one�fumber �� C�—��-���_ ��1 e� — l�
x 5igrtature W'rtrtess Signature V �"'�
� v
��� ���� q 3�c��-�i
�L� �EA��NG � � �-sL= 6 V
�v����-��� `x�w►��e ��-�e.t� —`� �$b��'71 )C !�3 ���
�v��������Q
��-��_ � � �� � I ��
F��DL�'l�9��C9DE
��f����i��.�0����0�����dQ'�������Q��i���`���
s�il�iV�9NlS�'RA�'I O�Fi
�����4Y i�[����P.`F�i't����a��Vg��7s�.7�p���y��I�O�y�i`4Y0 1��Vy�i7�� .
4�2.5 6�E�t141i3'FEE
� Praor fim constructing�r re�aair a�F any yvater of seyues liae connecting�tse existing�rsunici�ea(s+lstem and arn/house ar buitdin��or which fihe
ap�iicativn is made,the owner flr carrt�ctor shait be required�cs al�taira a permit for;uch connection,and shalt pay a permit fee as prbvided
�hapter 11 of this�ode. Aftor such connection has laeen made,tIae'Nater and Seeaer Departmerrt shai(6e notafied. It shatl be uniawful ta ct
an��oranecting Sine urrCdl an ins�Oectian has been made and such conreection arsd the wor4c incident�ereto has�eert approved by the C',rty as;
�ro�er artd suitabte connectior►.
�02.06 �tEP�tRS AaliD MAiN'9'�NAi►tCE Tm�Oi�i1VECT9�M
q,ft�r t#�e initiai connectio�a has been made to the�vater service cur�sto�a box Qr t€ae sewer lead at the property line or a water service lead h:
i�een sxtended to the pr4pesty tine for conrtectian,fihe applicarrk,awner,�r accu�aarrt or user af such premises sfiai{he(iai�ie for ai1 repairs
required to aray water line and seaver{ines necessar�for connectiore of the�remises from�fee mair�ta the pramises. tF the property auvner
requesfis mairnenance serr�ce nr repairs be�aerfvrmed�y the�'3ty,the property owner shall be charged for ttse costs of the mairrt2nance artd�
re�airs,inclucling necessary street repairs at a rafie set annuai(y by an administrative�oiicy. 9t shail 6e the responsibility of#he applicant,
owner,occupant or user to�erforar standarsi mairrt�nance mf�e se�ver servi.ce line frorre the�remises ta Che main inctud'ang debris dearirtg a
�-vot x:u'tting end to maintain ttae uaater;erv�c�curfa stop 6ox for o�esa�ility and at such heigSr�as will 2nsue�tf►at+t remains above the finishe
grade of the land or properk�. �S��iF 638,�.156,1191�