Meter Swap � Request Number: 13839
Public works Division
Service Request
Problem Address: 6141 Benjamin St Requested By: Mina
Departmeet: WATER Addreas: No address provic�ed
Problem/Issae: INSTALL AMR METER Phonc Nue�ber: 612-666-1 S74
Schednl d D�e: 2017-03-09 � Schedaled Tlme: 10:3U:�
1
ACITON NEEDED•
Created b}�: W¢ndy Hi�t Date Created: 2019-03-06
,.
AC'IIOAI'�'Ao�N:
_.�, .��.s�C�� �-----
..�:
Status: In Pro�ess Submitter Ha�Beee r,
Contacted
Date Campleted: 3" �'� l Completed by: ��'`�
. � �53-s�2-�55�
' !��°� Iaer�foy a�orize t�ae�' n#�s'wcil
regal�ce tS�e�rater�raefies-. 1�asederstaetd i�at�tee ro e � erP and�oe-its ampioyQes#o do vn�at ds nece�,s
� p �ty owner�s�ia�le for�9�te�ratee lie�a$rom�he anain to�ee premise and aii exrterio�
�7aiaaaisieag. {Per 4"'.sty sode��D,�.��� 3 aiso�toi+d the�'s�jj of�sidley and/�ts�m�miaxyees hasmless for any�amages�Sat aaaay occaar�rhile sioir:
' a�era'tFon_ �'iais fio�nettec8e,4�ut�eca��ianated io valves>p3Fira�watis,i7oors�s�dae�aarla sto�n�ox arac!servdce fis�e_ &r¢�xesdee�s#and i am also
te�o�ataira a perrn�t gor"sar�o aeay�rnr�,��ecessaey.
��� - �l�104 ? 0� 03
F5l�iA1�k1ET�R F,EA13lOOiG(oit[cnetes} L" { � D� l/ �� ��3
�tame:__l �_� r '(d� Rddre�_ �6 L� I ���( fi�W�,►-`�"'� SJ'•
Phone fYumber Cl��2� lU�Q�p" 1�� I pate 7� �'' ��(
Sigrtafiure ilifitn�ss S'ignatitre �_
o�������a y ���o�
o����t�� �f ��5 0��
�
�����R� '���� �,�a q
_. � � �
���-# � v � o o �
ERi[itEY C!'�'V�C�DE
CEidA�'�!t�02.9NA7'EBZ,S�Ot�8V6 Y1I�1,7'E4i AND SAAtITARY�EWER
ADNfIf�19S�'RAT9CDAf '
�i��f OrcO S�t�113,��4,565,56�,623,638,5f2,9�2,988y i144,1356,11?91}
402.� ��r�-�E�
Prior to sonsts�a�ctie�g or repair aF arry watec-of sewer tirae connecting the exfstin,g anunicipai system and arry house os buiidfng for which the
apptication is rr�ade,ttae owner or corrtracCflr shaii be required to obfiain a permrt for such c�nnection,and sfealt pay a permiT tee as providE
Cha#ster 3�crf�is Code. After such connecCion has daeer+made,tF►e Water and Sewer Departrneat shali i�e natified. i�shail be un(aarful#o
ar�y conaecting rne urrtil an�r�specition has 6een anade and such connection and the wor�c inciderrt tFtereto has been apProved by filae Cety a
proper and sui�table connectaora.
�OZ.Q6 #iEPAlR,�A�(D�[Al4UTEi11ANCE T(3 COAtMECTiON
After fihe initial sonnection has been made to#he water service curb stop boec or ifie sewer fead at the properi�li�e�r a�rater senrice lead
been exfiended to the property line fnr connectian,the appiicarrt,owner,4c a�cuparrt ar user of such premises sfrali be 1'Zsaf�ie{nr ati r+epairs
required to arr�water dine�d sewer lines necessary for conRection of the premises from the main to the premises. if the lxof�erfy rnrner
�equests mairrtenance senrice ar repairs be perFormed by the C'ity,the�roperty owrr�shal�he charged fr�r the�asts of#he mairtterranc�an�
repairs,iracludi�ag necessary street repairs at a rate set a»nua�ly!�an adnninistr�ive poticy. tt shati be the responsbitifiy�the a�Gcarre,
owner,occupant or user to perform s�andard ar�airrteriance of�he sewer seraice l�ne from fihe premises to the rnain a�sduding deb�,dea�ic�
�'oot�utting and�o mairrtain the water service curb sCop box far operability and at such fi�eight as un'll erisure that tt remair�s a6rnre the finish
grade of the�and or�oroperty_ �Re+f 638,Z1S6,1142j