Meter Swap � r +
� Request Number: 13886
Public Works Division
Service Request
Problem Address: I 100 Lynde Dr Requested By: Richard Rolstad
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-799-1329
Scheduled Date: 2017-03-16 A� Scheduled'ISme: 02:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-03-07
ACTTON TAi�N:
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Status: In Progress Submitter Has Been r
Contacted
Date Completed: Completed by:
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�,�°� r her�6y authorize ttae�ity uf�ridley andJor its empioyQes to do w�at as a►ec.essab
rege9ace the�erater rne�ec. ��a�tBerstand t�a#the�ura�aes�Cy owner is dia�le fior�e�rafi2r 9ine�rom rhe anain Co�he premise and all aarterior
. Afaagxa�sing. (Per�C'riy sode�02_06� �adso�toid the�'stt�of�ridley and/tfis em}slmyees haa�nless for any slamages that rraay,occar�aifaile�Joirag
v�ea-�tion. T4ais tn�nclucie,�aug rsotc dpaa��tecl�o vaives,plping,wral(s,f9oors or tfae�earb stop kaox and servece�ir►e_ Ira�end�rseand�am also�E
t�otataira a perrnit garsor�o�ny�r�r�C,if�ecessary_ �.
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Fgtti.4L�IAETEE2 l�EADI911G�a(d metec� 1 � �,� c >`%
Name: ��C�r��.,�� �1 L-�C� F�'�Z��i Address ��l��l.-� ��'"►C�� ��
Pl�one�tumiser����"'���� � ���� L-�� pate �'— �� ��
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Signatu� ��, �
Witness SSgnagur�
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4�2.5 PERM9'�"�EE „�,nn�� �4�'�"-� � ���
Prior Lo constr�cting or r�epair of any�vafier of seu ��" ��ouse or buitding for which the
applicatifln is made,the owner or corotra,ctor shal' -('W�.u'a►�Gf���G�iJ LWLQ �� �all pay a oe,mit fee as providec
Cha�ster 3.9.of thds Code. After such coronection�: �
aotified. Et shatl he un(awfui to c�.
any�onnecting(ine un•til an inspection has been�nade and such connecz�on a,���.,,<,....__.____ ias beere appro�ed by the City as
proper and suitab{e conneetio�a.
4l72.06 9tEPA1Qi5 AsND�ttAINTEtVANCE�'�Ct)AiNECTf�4V
Ai=ter Che initial sonnection has been made�o#he urafier service curb sto�box or the sewer tead at fihe propert�{line or a water service iead h
beera extended#v#he property line for coneeection,the appiicarrt,owner,or occu�ant or user of su�h premises shatl be iiable#'vr atl repairs
�equire�!to any water(ine and sewrer lines necessary for�onnection of the premises frorr►the main to the prerraises. If the property+awner
�eques#s maintenance service or repairs be performed 6y the City,the prope�y owner shall be charged for�he�osts o#the maintenance and,
repairs,includirag ne+�essary;treet repairs at a rate set annually bp an adnninistra�ive golicy. 1t shatt be tiae sesponsibi(ity of the applicarrt,
owner,occu�an-t�r user to perform s-tandard maintensnce of the sewer service l�ne from the premises to the main�nctuding debris clearing c
root�wtting and to ca�aintain the water service curb sfiop�ox for operaiaility and at such�eigFrt as will ensure that st remains above khe finishe
grade of khe�and or properky_ �dZef 638,1155,11.91}