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Request Number: 16684
Pub6c Works Division
Service Request
Problem Address: 129 Ventura A�nue NE Requested By:
Department: WATER Address: No address provided
Probtem/Issue: INSTALL AMR METER Phone Number: 763-571-3091
Scheduled Date: SCheduled Time: �
AC'I7UN NEEDED: Install AMR
Created by: Jeannie Benson Date Created: 2017-08-11
ACTION TAKEN:
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Status: In Progress Submitter Has Been r.
Contacted
Date Completed: � fr-_ '� Completed by: r ��
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��''v� her�e9�aaat�orize the�ty ui�ridiey a�ad,�r�r its�mpia�ees�o�a�rhat ts.necessaa^y
�'���a�����u'�r metar, 9 u�ast�rs�tand t�eat the�e�perfi�o+anea�as�iabie for the a�er�ine frarn fihe maira ta the prernise and all ir�tterior
�larrsiaing. {per�ity cosie 4�D�.�86� !alsm�SoBd�lae�"ity of�v��dtey aracd�'its emgoiayees i�armtess f�r ar�y darseag�s�hat may occur while doing t
�vqse�taon. �'�sis t+�anc�ude,faut r�at limifiecd to vaives,pipirs��,ra9ts,floors nr t�se curts sta�box ar�cd service 9irte, !n undeastand S am also�Qc
�o�I�tain a perna'st�Sr�or t�aray w�o�fc,if necessary-
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��ignature -� �— L4le'trtess Signature
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,A�iV3�4�tlS�'RA�E�N
��ef Or2d 9�l0�13,4�4,5�5,56fa,�29,638,662,9�,988, 11Q�4, 9.9.56,119�.�
4Q�.S PE�tMiT�EE
� ��ior to constru�,tirtg or repair of any yvater of seyver{ine�onnecting ttse existing rnunacipa(systenn artd any house or 6uiiding for which#he
a�a�slicatiora is�nade,t�ce owner or cnnfiractor shai!be required t�abtain a permrt for such connection,and shait pay a�ermi#fee as provided
thapt�r 9.1 af tltis�ode. Af�er such connection has�een made,ttae'Nat�r and Sebver�epartmerrt shalt be no#ified, tt shati be atniawfui to cc
any coranecting 9ine unti[an ins}aection has been made and such cor�nection and�he worSc inciderrt ti�ereto lzas beert approved by the�'ity as i
garv�aer and suitab�e conr�ectiort.
�02.�6 12EP�(RS�►i(D MAiPlTEAIA�YCE 1'+m�ONiVEC3'IORt .
A,fter the initiai zonnection�as been rnade to ki�e water seruice saarb sto�x box ar the sewer€ead at tf�e property line or a+rater service tead h:
been extended to ti�ae pr+vper�ty line For connection,the appiicarrk,owner,or occuparrt�r a,rser of such premises shall(�e iiabte for atl repairs
r�quirec!to aety wafier line artd se�nrer 4ines necessary for connection of the premises from tlae main ta the premises. 1f the properCy owner
requests mairrtenan+ce service flr�egairs be perfvrmed by the Caty,the property owner�halt�e charged for the costs of the mairrtenance and�
rQ�airs,inciuding necessary street repairs at a rate set annuaily f�y an administraiave�oiicy. 9t sha(16e tfie responsibility of the applicar�t,
owner,accupant or user to�erform standard mairrtenance crg the sewer service line�rorn the premises to the main inciuding debris clearing o
r�xot�utting and to mairotain the yxater service curb stop box for oq�erai�itity and at sucF�heighic as wilt ensur�khat ifi remains above the finishe
grade of the fand or properiLyy. (Re$638,�356,1191y