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' Request Number: 13816
Public works Division
Service Request
Prol�em Addresa: 1567 Fer�ale A�e Requested By: Mark SiYns
Depirtmeut: WATER Addre:s: No addreas provided
Problem/Is:ue: iNSTALL AMR METER Phoee Number: 763-316-809�
Sehedqied Date: 2017-03-25 Schednled Dme: 10:30:00
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AC7ION NEEDED:
Created by: Beth Kondrick Date Crr�ed: 2017-03-03
AC IION TAKEN:
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Stat�: 1n Progress Snbmitter Ha�Beeu �,
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I�te Completed: '���5.. �`� Completed by: ��`L�
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regn9�ce t4�e mrater me�tec_ 1��derstanc!�a��ae ro e °�° ey andf�-its emplmyees to do dv�at is necess
�+ g �ownes�is�iable fmr�fae�rater 9in�from�he anain to�e premise and all aarteriai
r�taarraisirzg. ��e��it�jj sode$�2.�6� 3 a�so�a�ld tf�e�"rtt����edie�,+and��ts em�xi�ees haemless for any�arsnages t[�at�roasl�ccur�rr�aite sloir:
. oboee�'t5ora. �'9ais fio�nct�acBe,£au$�esnt diaa9rrYee[to walves,�aiping'.avatls,��nors�s�e caae'!s sto�&aox an�i service lis�e_ Irn und�rstand�am also
te�oiataira a pes�a�s�i-t g�r"sar io aeay�ror���secessarye
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S"�gnateare Wr"iness Signah�re — -
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CFt�'ER Q02.V4TA7'ER,S'!"ORE116111r�,�('E!$�IN�SANITARY SEWEI�
ADMNt![S'6'RA,'Ct�i�t
�4Z�d`CBrid�to 1�3,�D�i65,�66,629,638,6i62,9�2,98$,11.�4,Ii56,2191}
4�2.5 PERM!'d'FE£
Paior to cor�structing or repasr of aml water vF sewer 9irae zonnecting ttze eKisting rrrunicipat system and arry�ouse oa�6uiidir�g for�rhich Yhe
ep;plicatien is attade,ttze o�rrner or raorrtractor shaif be rer�uired to obfiain a permi�t far such conner.tian,and s(aali pay a permii fee as pro�dE
Cha�er 11 of�his Code. A#ber such connection has besn�nade,the Water and Sewer DeparCmerrt stsal�be aaotafied. tt sha(1 be unlaar{u1 to
aray corcnecting Gne until an inspeclaon has heen anade and such s;onnection and#�e woor6c inciderrt thereto fias been approved by the Crty a
prv�er and suitable connection.
�t12A6 �tEP�►tR s l�1�CD�tliAt9YTENAfiiCE fi0 CUNNECTlON
A�er the iniciaf connection has been made to#he wafier service curi�stop box or the sewer!e�[at the propert�iine or a�rater senrice 1�d
been e�ended to tt�e property iine for conreectian,the appGcarrt,ovrner,4r o�cu�arrt ar user of such premises shali be tiabie#or ati repairs
required to ami►w�;�d�ne and sewer lines a�ecessary#ar,connecCion of the�xemises from tF�e main�Co the premises. if the property owner
�equests rnair+tenance service or repairs be perFormed byr'�fie CrtJr,tlas prflpex�ty owner shall be d�arged fior the�af The»�+airn�nance art+
repairs,includi�ag necessary street repairs afi a rafie set annuaity}ry an administra#ive policy. tt shaf�be fihe responsibTrty af the appiicarrt,
owner,occupant or user to perform standard anairr+teri<ance af fiFie sewer seruice�ine from ttae premises to#�e main aacludirig debris cJ,earirig
root��tting and to mairrtain t(�e water servic:e curb stog box for operahslity and at su+ct�#�eight as un"li ensure that it remains a6ove the ftnisl�
grade of the�and or qarvperty. �Re�f 638,115�5,1191a