Meter Swap ; � Request Number: 13762
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Public works Division
Service Request
Problem Address: 6514 Fridley St Requested By: Lisa Holbrook
Departmeut: WA1F,R Address: No address provided
Problem/Issne: INSTALL AMR METER Phone Number: 763-502-67'I2
Schedaled Date: 2017-03-07 Schedaled 1ime: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hi�t Date Crerted: 2017-03-02
ACTI N T
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���: �R,o�ss Submitter Has Been r,
Coutsicted
Date Cempleted: Completed bys��
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8/�°� her�Poy authorize ttae�' �f�sid!
�v e�anc8/or its ernployees to do�nri�afi is necessao
r�egcl�ce the aerater meter. 1 vnderstand t3�at tFae progea�ournes��s�ia6sle far�lte�rater line from the anain to�ae premise and all irnerior
� �tearsabing- {Per�CFty sode�6D2.Q6� 3 ads��Sald the�"rt�p�Esedley and�ts err►�loyees harmtess#or any�Jamages that r�aay�ccur�rhi(e sioirag
o�ea�tion. 3'Oais fio�nelucie,iaut�aot 8isa9etect to vaBves>�iP�n�walls,�3oors o�t�ee curBa sto�o box aeac!servdce 1is�e. In und�rstand�am aiso a�
► to�tataira a�e�n'rt�er�or�o aaay�w�nr�C,'sf�ecessarye
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Atame:_ Address
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Stgnature �. Nlitness Signature
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t1i�W0 METER# ���10 � � � �
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CtiA�TEtt Q(D2.9NATEdd,STOR41i!WA,�'E4�AND S�kNtTARY SEWER
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4Q2.� PERMt'1'FE£
Frior to constructing vr�epair of any water aF sewer tirae connectir�g the existing rnunicipaJ system and any�ouse or 6ui(ding for w(�ich the
apptication is made,the oamer or coma~actnr shall be required ta obtain a permnt far such wnnection,and shali pay a permit fee as prrn+idec
Cha�rter 3.�of this Cade. pi�e�such connection has been made,fihe Water and Sewer Departrr+ent shali be notafied. Ft shail be uo(awfu!to c,
ar�y coranecting tine urrti7 an inspection 4�as been snade and such coranection and the wor�c inaderrt the►�eto has been approved by fihe Cety as
proper and sui�table connection.
�02.06 �iEPA1(R�I�Rit��iA1NTElVAA�CE TQ CONNEC7'fOP�
A�er the initia!connectivn has been made fio#he wafier senrice curb stop box or the sewer lead afi fif�e property iine or a rrater sermi�iead 6
been ee�ccteraded to the property tine for coneeection,tf�e appiic�rrt,ourner,or accuparrt or trser vf such premises st�ali be iiabie for afl repa�rs
required�o an��ra#er 1{ne 3nd sewer 4ines csecessary#ar connectian of the premises fram the main to the premises. !f the property awner
�equests mairrtenance service or repairs be performed by the C'ity,ttte properLy owner sf�ali he charged for the�af the mairrtenance an�;
repairs,inctudirag necessary s�treet repairs afi a rate se�C annualfy Ia�an administratiae po�cy. tt shatl be i�e resporrsil�it'riy e#the appticant,
owner,occupant or user to perform standard mairrtenance of#he sewer serv{ce line from the premises to�e main incRutfiog ctef�ris cl�aring c
root cufiting and to mairrCain#he water servic;e curb sfiop t�ox for operability and afi such 3�eight as wifi ensure that it rernains ai�ove the finishe
grade of the�and or property. (tief 638,1156,1191j