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Meter Swap Request Number: 14606 Public Works Division Service Request Problem Address: 5461 4th St Requested By: Brad Department: WA1ER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-213-2813 Scheduled Date: 2017-04-22 Scheduled TSme: 02:00:00 �l �)W � �- % ACTION NEEDED: Created by: Beth Kondrick Date Created: 2017-04-10 ACTION TAI�N: Status: In Progress Snbmitter Has Been � Contacted Date Completed: Completed by: s�:�-��-�� ' ^ 1/�� e�'�Poy a+sCi'�o�iz�ttlae�' �if F�! B Y �ego9aCe#d�e�rater�neter. 1 vnc9erst�ased S�sat�Eae ro e � �P and/'o�its e�n 10 ees#o sYo�nehak ss neses: g� �a a�ty owner�s diak►!e for�l�ae 4era�ter tine from the gnais�t��ee premise and adl aa�teria �xtaa¢ra�ietg (P'�r�ty cos�e��2.�� a$.s�hmid�ite�'rt�asf�ses6le�and�'rts ern�l�yees hae�miess for arry��lamages tf�tat snay occur�rhiie sloi� ��eee�t9an_ �'�eis fio�nelucEe,��x�t�eca�3asa9itect to velves,�lFing watts>f��ors�s tiae�aarta sto�box arad seavdce lis►e_ I�a�xe�d�rstand�am aists �o&ataira a per�nit prso:r�o aray�rv+�:,�F�er.essareje �OI -- ��i� ��D-O�v ��r.�i.�urEa-�aa�,n�t��a�t merer� �� r " �� ✓�� 1 lo�ame:��"'Q.b,�e-�C �0.�Od 2��) Sk'Address 5 ��O f' �� /L� �.3 -�.`� �3 P3�one�tumbes- 1�D 3^o��— " �� Sgnature �1f�ness 53gnatur� � C?LI!�E�'��<,`,:�i�?��``C�.�J �� 1�� _— — � � � � �� _ �� ,. �� :� . � :'x` .,� � - � -;�� 208081 . . ._ _ . � ��# ;, - �� . 'd � 72223674� . � _ F#tiDtEY�1�'1C Ct'�DE Cl�i1�1�'Ef�44l2.Y41A7'ER,STORlW!Nli�,��At�iD SAN11'ARY SEWER At�J1�6S�'T�ATi�1F � . � ��@ if'H'�4A�411� �1.7a at��g�6�g��g VG�y�7�y��y�i.�y�fJ�y�i'R�l�Jr.A.J�y.iiaJ.� . "�^'e.;:.. . ��Z.S PER4k'�t�'FEE Prior to�onstr�acting or a-epa�r af arry water o�Fsewec�iaae connec�ting tFse saistir�g murtiapal syste+a and any E+ouse os buifciir�far�rhich the apptica�ivn is made,tFae cnrr�er or cornra�'kvr shal!be required to obfiaiss a perrrai�fo�-such connection,and shalt pay a permitfee as prrn►id� Cha}�eer 3.�of�his�ode. Afi�r such connecCion has beera made,�he�later aesd Sewer Departmerrt shai�be na�af"ted. Ft shail be untaurfui to arag�a�sa�ecting line urrtil an i�tspedaon has�een anade and such connection and tize wvrir inciderrt theret�o has beera aPproved by the�a proper and su�tabte conneclaora. �F02A6 �iEPA1RS�i€2�iA14d'i'ENAfbiCE TO C�1iNECT�QPo! AfCer tfie initial connection has been made fio the wateer senrice curb stop box or t�ie sewer lead at i�se proPe�'�F tine vr a w�er senrice�acl beers enfiencted tv ihe prope►ty iine far conreection,tfie app�carn,rnwner,or acaupaRst or user af such premises sha11 be 1'iabie fora[I repatrs required to an�water l�ne and sewer lines a�ecessasy#vs-�onnection of the premtses frarr�t.�e main to the premises. !f tfre pra{�ertY owner requesls mair�tenance service or repairs be perfiormed by tfse Cit�►,tFae property owner shati be chatged foc#he�vsts of the maimeiaance an repairs,incladisag ne+cessary s�ree#repain at a rate set annuafty tsX an admsnistrak�e�oPcy. ►t shal�be the responsibt[ity vf the applicarr� c�'ner,occupant vr user to pecfvcr�n standard mairnerianc�of the seurer servsce line from the premises to the rnain dnd�ng de6rss dEaring root cut'ting ar�d�o mairrCain the water servece�arb stnp box for operaf�ili#y and at such i�eigirt as wili erisure that it remains a6ove the firis� grade of Cf�e tand or grop�rty. jiYef 638,1a56,1191) :,�,:, {_ _ _.___a � � I ' �� ' °�� ________�_ .__m_��_ _.___.____�_�_. __ _ _ _ _ � _ _�.�__. _ ; � � � � � � � - - - ��.___�... _.. . � .�_��_______�____ = __ _ . _ � � _ _______ . __.___� _� _ _ _ ___� _._ � _______ _� � � � � � � � � � � � � � � , � � � � , , . � S r�R:� 1�il�'s � �a`J'`'�"� �, 1 �� x!� 1� �� ' "P�� - �' �� =�� - - . �ls Nl!► �� =�PPV £t8Z-£�Z-� - ��M �'Q � :+� _ �� 1�' ZI�tZl� ��7 ��-Zl-l� �� }� �}�'11��1t�� ;iil��