Meter Swap A
~ � Request Number: 13641
Public Works Division
Service Request
Problem Address: 1650 Briardale Rd Requested By: Leah
Departme�: WATER Address: No address pmvided
Problem/Issue: INSTALL AMR ME1ER Pho�Number: 612-834-1624
ScAeduled Dato: 2017-03-06 Scheduled'Ra�se: 02:00:00
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ACI'ION NEEDED:
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Create�Iry: WendyHiatt Date Cre�ed: 2017-02 24 �#,m� y' '`�"�'"
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Status: In Pro�ess Sabmitter Haa Been �.,
Contacted
DAte Compieted: `3 r.(Q� �"'7 Comptsted by
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���1P� hereby authorize t�se�ity�rf�sidley andJoe-its employees#o s!o arhat as ner.essary
' reg�9ace ihe eerater�raetee�, 1�nderstand that the pro�aea�ky owner is iiable toa�tlae�vater line fram Yhe main fio tCte premise and ail iMerior
�f aarrabing. (�er�C"rty�ade��2.06� 3 also�aold the�ity+xf Fsidley andJ"rts em�lmyees tsarmiess for�ny�lamages tFaat rreay�ccur wFaite sJoing t
op�ee'ation. �'his to�ncPude,bu$rao�9ian�ted io uadves,�9Pirag,waifs,fDoors ar td�ae curla stog box ae�e�d servcce lis�e. In�xnderstand�am also rec
to afataiea a�eranit gar'sor#o any�er�r4c,i#necessarye
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F9NAL NiETER itEADiRIG�otct meterj � t � lt! �o ��
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Pi�one iYumber �.(!l Z-` V��`'- ���'"! Date c/� � —L�
Signature Witness Signature
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iFR1Di.E�t C1TY CC�DE
Ct-Ip►P7'ER 402.WA'l�R,STORtII!WA,'9'ER�IND SANTfARY SEWER
ADMIlViIST�ZAT80N
(9tef Ord fito 113,464a 565,566,629,638,�62,922,988,I144,IIS6,1191�
402.5 PERMIT FEE
Prior to cor►s'�ructing or repair af any water of s�nrer tine connecting the e�dsting munia�ai system and arn/house oc tnasfding for which the
apPl��iflrs is made,the awner or corrtractor shail be nequired to vbfiain a permit for such connection,and shall pay a permit fee as provided
Chapter 12 of 8hes Gode. After sucf�connection has been rnade,the Water and Sewer Department sha!!i�e not�fied. it shail be uMawful to ca
any connecting[ine uritif an inspection has been anade and wch cos�nedian and the work inaderrt fiheeeto has been approved i�y the City as r
proper and su�table conned3on.
4�Z.05 liEPAlRS AND�tA�NTENAE�ICE T�CONIYECTi�1
After the inifiia(connectiaa h�been made to the water service curp stop boec oc the seares lead at the property iine or a w�ater service Iead�
been extended to fihe property rne for connection,the appiicarn,owner,or accuparrt or user af such premfses sftalt be!'�abie for ap repairs
required to any wates tine and sewer lines necessary#or connectinn of the premises from the main to the premises. tf the property owner
requests mairrtenance service o�repairs be pesEos�sed by the C'ity,the proper[y owner shall he d�arged f4r the sos#s of the mairrtenance andJ
repairs,inciuding necessary sfire�t repairs at a rate set annuaity#ry an adminisb�ative po�icy. tt sfiafl be fiF�e resp�onsif�7ity of the applicarrt,
owner,occuparrt or u,ser to perFornn standard mairrtenance aF the sewer service line from the premises to the main ancludir�g debris�aring o±
root cutting ared to mairrtain the water service curb stop hox for operabitity and at su+ch height as will ensure Chat it remair�s a6ove the finisfte<
grade of the land+or progerty_ (itef 638,1155,1191)