Meter Swap � Request Number: 13290
,
Public Works Division
Service Request
Problem Address: 1031 Lynde Dr Requested By: Norm
Department: WATER Address: No address pc�ovided
Problem/Ias�: INSTALL AMR METER Phone Number: 763-571-0434
Sclieduled Date: 2017-02-0 Sc�edaled Time: 10:00:00
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ACTION NEIDED:
Created by: Wendy Hiatt Date Created: 2U 1'7-02-06
ACTION TAI�N:
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St�: 1n Progress Submitter HAs Beea �..
Contacted
Date Coropteted:�_ � ..-. �� Completed by: ' �
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�f'"�� hereby autharize the C?ty af�ridley and/or its emptoyees to do wltat ds necessary
� replace+the water rneter. l c�nderstand tttat fihe property oarner u Ga41e for#he water line from the main to the premise and all irnerior
ptumb+ng. (P�r Crty cosie 402.�6� i also�old#he�rt�j uf F�idtey and�ts emp{flyees harmless for any slamages that may occur while sloing tt
o�ee�ation. Tfais go 6nclude,but not 9imcted 3o vaives,�iping,a�ratls,flooe�s or the curb sto�box and senrice line. In undersfand!am also req
to obtain e permit prio�r to aniy�erar6c,sf aecessary.
t�1t�(AL METER READING�old meterj V �� `� �O�
lYame: ��0'r� Address � �i ✓,
Phone Number��J'�� � " ��3 y � �- � -- `
Signature Witness SigrRature
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F4i1DLEY CiTY CODE
CI-6�►PTER 402.WATER,S70RM WATER R1ND SANITARY SEWER
ADMli1�tS'!'R�TION
(Ref Ord No 123,464,565,566,62g,83g,662,922,988,1144,I156,1191j
402.5 PERMIT FEf
Prior to constructing ur repair vf anr water af sewer line connectmg tfie exisiang municipal system and any frouse or buitdir�for which the
appltcation is made,the sswner or corrtractor shatt be required to obtain a permit for such connection,and shall pay a permit fiee as provided
Chapter 11 of ifiis Code. After such conne+ction�as been made,the Wa#e�ae►d Sewer Departmerrt shall be notified. it shafl be untawfcit to ca
aray connecting iine urnil an irrspection has been made and such connecCion and the wor�c inaderrt theceto has been approved hy the�ty as a
proper and suitabte connectiora,
402.06 RfPAiRS AR1D MAfN7ElYANCE TQ CON1YfCf10N
After the initiai connectien fias been made to the wa�ter service curb sto�box or the serrer tead at tfie properry line or a water�rvice lead ha
bee�extended to the property line for cannedion,the appiicarrt,owner,qr accupa+�t or user af such premises shap be Iia4�e�For a0 repairs
require+d to ar►y water line and sewer ifoes necessary for connection of the premises from tFre main to the premisses. !f the property owner
requests mairrtenance senrice or repairs be perFormed by tfse C'rty,the property owrrer shatl be c�arged for ttre�osts af tfie maintenance anct/
repairs,inctuding necessary street►�epairs at a rate set ennuaify fry an administrative pottry. tt shalt be�e responsi6iC►ty af the appfcarrt,
owner,occupant or user to pe►form sfiandarcl maimenaoce of the sewer senrice line from the premises to the main dncluding debris dearing a
rovt cutting and to mairrtain#he water service curb stop box for operabslity anc!at su,ch height as will ensure tha#sC rem�ins a6ove fihe finishec
grade oF#he fand or propecty. (Ref 638,1156,1191�