Meter Swap l
�" Request Number: 14033
Public works Division
Service Request
Problem Addreas: 1340 66th Ave Requested By: W C Larson
Department: WA'1Fdt Addresa: No ad�ess provided
Probtem/Isa�u: 1NSTALL AMR METER P��e N�mber: 763-5�'1-8546
Sc6eduled Date: 2017-03-21 Scredaled 11me: 01:00:�0
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ACIION NEEDED: '
Creited by: Beth Kon�ick Date Created: 2017-�3-13
ACIION TAI�N: ''
St�ua: In Pro�ess Snbmitter Ha�Beea r,
Coatacted
Drte Compteted: Completed by: '
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9,��� her�by autl�oe-ize t�ae�i�of Frsdley asad�'o�its esnpdoyee��s!o�i�at ss nece�
���9ace�e�ra�er metea�. 1 aaraclers�aeed i�a�C�he pr�gae�ty owner�s�iable fos�e�rater liv���rom�he anain tc3�e premese and al!iarter%o
� �StaaBxa�ieag- �Per�y�o�fe�2.06� �a7s��toid tf�e�'rty trf�s�ley andJ9ts em�xl�ye�s hae�snless for any�a►aeages ttaafi snay�cczrr irrhi(e slair
,� �pea'ation. �'i�ais#o�neftecl�,Ra�xt�ecxfi d"asa»�tec[to walves,��ping,avalfs,floors or I�te enscda sto�s kaox arad seavdce lis�e_ frn�xa�d�rseand�am elso
tss a#a�taiea a�e�snit gar"sor to aray�ror�,��ecessae�.
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Prior to consts�rcting vr repair af any�tater oF sewee-iira�connecting fihe e�ti.sting rnunicipal systecn artct any hause vs bui[dirig for which the
apptication is made,tlae aa►nes or corrtractor shali f�e reyuired to obtain a permit fc�-such connectiaz,and staali�a�ermit fee as provid�
Chapter 3.�of this Code. Ai�er such corrnectio�has�een made,#he�li'ater and Sewer Departmerrt shali be�aotified, t�shall(�untawfu!to
aray�cona�ecting dine untit an irrspectiore has 6een snade and�uch conoectiors and the wor�C inaderrt thereto has heen appraved by the Ci#y a
proper and su�tbte conrtectiora.
402.06 �{EPAiRS 11191i��tA1S4tTENANCE T�CONNECi70M
A#�er the initiat sonnection has been made tn the wafier service curb sCop S�o:c or�Che sewer tead at the property iTne ar a rraber service�ead
�een exfiended to the property►ine for conr�ection,the appiicarrt,owner,or Qccupar�t or user of such premises shali be tia6le for aA re�airs
require:d tri arry water line and sewer lirtes necessary#or connectian of the premFses fram the main to the premises. If the property owner
requests cnairrtenance senrice or reEra�rs be perFormed by fihe C'rty,ttae properfiy rnvner shall he cF�arged for the sosts af the mairrtenanc�an
repairs,includirag necessary�.ee#repairs afi a rate set anauaity by an adnninisCratixe policy. �t shatt J�i�e responsibiiity►of the a�plicarrt,
owner,nccu�aant or user to per�orm standard mairrtenance of the sewer servece l�ne frorrs the prem�ses to�he rnain arictuding debris dearing
rorrt�cufiting and to maiirtain thQ water servic,e curb sfiop box for operability and at su+ch€�eigtrt as mr7i ensure that it remains above the finisP
grade af fihe land+or�roperty. (F€ef 638,1156,L191d
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City o! �'ridloy
1�ater Department
Address__ �� �'i' (/ �i� �� ��C
Name ,���ct La�sv n
Date�-� -� q
Old Meter Number �6 � ti 6�a
Old Meter Reading (� � ���
Replacement No. c���� � �
Replacement Reading �
Replacement Make �, ct��.j�J�
Remarks: ��C> �y�,�"1"� �
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Ad�ess� 1340 b�TH AYE NE Ca��dc Ptx�e: 763-5�1-8�
Sc�r�d Date: Pr�perty�:
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