Meter Swap :
Request Number: 13623
Public Works Division
Service Request
, Problem Addresa: 1608 Briardale Rd Requested By: Wendy Tl�len
Department: WA'IER Addresa: No address providcd
� Problem/Tasue: INSTALL AMR METER Phone Number: 763-670-1709
Scheduled Data: 2017-02-28 Schednled 1lme: 11:00:00
� I I/�eS 2��`
ACIION NEEDED:
Created by: Beth Kondrick Unte Create�: 2017-02•23
AC7ION TAKEN:
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Stntua: In Progress Submitter Has Beea �.,
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Ds�te Compf eted: �,.] �?,,��"� Completed by: J a�-�i
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her�by authorize t#ae�'rty af�a�idley andJor its ern mqees to da what ds aecessary
regx9ace the water meter. t a�nderstand that�fie propea�y oarner vs liable for t#ae water li�e from�t+e enain fio��te premise and all interios
�turrst�+ng• �l��er�Cr'ty sode�02.06� 3 adso�told the�'sty of�idle�endJ'rts em�sloyees harmless for any slamages tt�at rnay occur rrhile stoing t
o�Oeretdan. 1'tais�o include,bu$ao�t lia�lted�o valves,gipin�wa{Is,floors�r�e casrb sto�o box ared service lis�e. !n usederstand i am aiso rec
tr�alataira a permifi prior ta any rrar4c,if necessara,,
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�9rre��+ne-rt�t ca�aonu��at��,eeer, D'-�� 6 i l "
�ame• 'N W YiY�. /4ddress !�v f7 �r!CJ���� � •
Phone Alumber ��`� `O•• Date O�'� �-V`� ��
S"�gnnature Witness Signature
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(Ref Qrd No 113,464,565,�66,629,635,662,922,988,I144,1156,I191}
402.5 PERRIt17 FEE
Prior to constructing or repair af any water uf sewer lirae connecting the�rusting s�r�unicipat system and arry house or buitding for wfsich#�e
application is made,the owaer or cocrtractor sfta11 be�equired to abfiain a perm+�#oc sucf►connection,and shall pay a permit fee as provided
Chapter 11 o�F th�s Code. After suct�connection has been made,the Water and Sewer DeparCmeat shali be natified. Ft sha11 be un(awfui to ca
any connectang Iine urrtii an inspection has 6een anade and such connection and the wor(c inadent thereto has be2n approVed by i�te C'rty as�
}�roper and suitab3e connection.
�02.06 iiEPA1RS Ah![2!�Al1ti'iEAt�CE TQ COPiNEC7iON
A�Fter the initiai connectiort has bee�rnade to the water service curb stop(�ou or the sewer lead xt#he propertir itne or a�rater seroice lead ha
been extended to the groperty iine foc canaectian,tfie appiicam,owner,or acwparst or t�ser af such premises sha11 be liable for ai!repairs
required to any wa#er tine and sewer lines necessary#or cormection of�the premises fraat the mair to the premises. ff tf�e property awner
reyuests mairrtenance service or repairs 6e perEormed by the Crty,i�ae property omrner shatl 1,�+charged for tE�e�osts a�the mairrtenance andj
repairs,inctadisag ne,�essary street repairs at a rate set an�suaity bar an administra#ive policy. it shatt he ti�ee s�esponsbitity af the a�l�carrt,
owner,occuparrt or user to perform standard mairrtenance oF the sewer service 3ine firom the p�emises to the�nain irscluding debris dearing a
roofi cu�ttin�and to snaintain the water service,curb y�top box for operabi{ity anci a#such height as tiv7i ensure Chat it s�emairu above the finishe�
grade oF the land vr property, {Ref 638,1156,1192j