Meter Swap ! ' " Request Number: 13789
Public works Division
Service Req�st
ProW em Address: 1423 Gardena A� Reqaested By: Mark Doug�erty
Deputme�: WATER Address: No adc�ess provided
ProWem/Iaane: INSTAI.I,AMR METER Pho�N�ber: 763-574-9540
Sc�ednled Dst • 2017-03-10 `� Sc6ed�lei 1lne: 09:00:00
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AC1iON NEEDED:
Created by: Beth Kon�ick Date Cre�ed: 2017-03-02
ACTION TAI�N:
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Coatncted
Date Co�pleted Completed by:
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���a� her�by au�ho�-ia�t�ae�rfiy�#�s�dley and��its esnP�oyees to�fo w�xt ss necess
regalace td�e vra�er metea�. ��anderstartd�Sat�he�ro�e�owner�s�iable foa��e�raiter 9ie�a from�he anain to�ee premise and ati anterio�
�taerea�ieag- (Aer�ty socie���.�fs� �adso 4�id#i�e�'rty�€Fsidley and�"rts gm�laayees 4�asmless for any�Iamages tiaat seaay occur auhite sioir:
� ' �g�erstion_ i'9�a6s�o's�eciuc8e,4srxt s¢cm 36sa��eet io watves,P9p9n�wadls,f�oors�s s�ee sa.'rb sto�o&aoz�rad servdce�is�e. Ira understand�am also
� t�a oia�t�aira a pera�nit ger�ar�:o,aeay�rnr�,i+F�ecessary. �
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W�tness Signaturs
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C[iA9��402.VtilA�ft,STOt�811�N1rA,7�R AND S�IYITARY SEWER
ADMfAIdS"�'RATd��l1t
(Ref Ord 31to 113,�4y 565,�65,629,638,662,92Z,9E8,19�4,i156,�91j
402.5 PERMl1"FEE
Prior#o cor�str�ctie�g or repair of any water of se�aer lirae connecfiag the�acisting rnuniapai system and arry�wuse os bu7dir�fior whidi#�e
appli�ian is enade,the owner or cornractor shat(be required to otrtain a perrrs�t for such connectiori,and sJ�all pay a permr�#ee as pu�ovide
Cha�rter 1�of�his Code. Al�er suci�connection�as been rnade,tfte Mlater and Sewer Departmerrt shali be aa►xfied. tt sha{i he untaur�uf#o
ar�y connecting�ine urrCil an inspectiors�aas been anade and such connection and the wos�c in+cidert thereto has i�een aPproved by the Crty a
proper and sui�tabte connectiora.
411Z.Q6 �iEPA1R,S APO(D�itAlfltTENA�YYCE Tt7 COf1�tEC77UN
After t�ie initiai connectifln has been made�to the water service a,rb stop boec or ti�e sewer�ad at t�e ProPei�lf iine or a r�ater senri�ce�ead
been�ended to�Fre property line for conraectian,ifie ap�iicarrt,odvner,or occuparrt ar�r aP such premises shati�3'iable for ai1�e�tairs
required to arn�water line and sewer tines necessary fvr connection of fiiae premises from the main to the premises. If the proper�,y owner
requests matrr�enance service or repairs 6e perFormed by Ehe C'it�/,t�ae property oavner shail he sharged for�he sosYs of the mairrtenance an{
repairs,iractudisag ne+cessary street repairs afi a rate set annua�iy b�t an administrakive pvlicy. #t s6aif be t�ie responsibii"rty af the apgticarrt,
owner,occuparrt�s�user to perform s�andard maisrteriance of i�e sewer seraice line from the premises to the rr+ain a�tcludirig dei�ris dearing
rocrt cu�tt►ng ar�d to mairttain the water service curb stop hox for�perability anc�at such�eight as anli ensure that It remains a6ove the iinis(z
grade of the�and or�orv{aerty. (Ref 638,1156,1191i