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Request Number: 13735
Pubhc Works Division
Service Req�st
Problem Address: 1464 Mississippi St Requested By: Roy DcMars
Department: WA'IER Address: No address provided
Probiemlis:�: INSTALL AMR METER Phoae Number: 763-355-1 S41
ScAeduledIhta: 2017-03-06 � `edl3me: 07:3fl:00
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ACIION 1VEEDED: �''y
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Created b�r: Beth I�on�ick Dat�Created: 201?•03-01
AC1I N TAKEN: n - �
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St�: In Progress Snbmitter Hns Beea �
Coatscted
Date Co�pieted: Completed by:
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, ���°� hereby a�athoa�iae ts�e�ii�v#��it(ley and/�s-7ts ernployees tv do v�rfiat ds necessaa
�egslace��Se,erater�raetec. 1 vnclersYared�sat tEee pro�aea•Ly owner�s�iable f�r�tl�ae�rater lieee�rom the snai��i�TTae vremise and ail is�terior
At���a�g. (�'es'�C9'ty'code�2.06� 3 adso�oird the�FCy�f F�idle�and�fis�m�ml�yees hae�sasless for any damages'#[�a�t rraay�nccur w€aiie sloirag
��aea�#ion. �'his�o�n�clucBe,�au�rsotc 8iaa�ated to valves,�aspin��arafis,fEoors vr ttte casrh stop kaax are�i sea�vnce 9ire. in�snderstand i am alsa a�
te�o�taira a�eranft qarsas tcr any wor�,if�secessarye
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Witness Signature
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402.5 PE€iRAi7'FEE
Prior#o constrraactieig or sepair of am/wafier af sewer lirae c4naecting the exis#ing rnuniapai systesx�and arry Frou�ar iactldir�g for wi�ich the
aPpl��fl�+�s made,the c�umer or corrtractor shalt 6e required to obtain a perm'rL for such c�naectaon,and sFaalt pay a permit fee as providec
Chatrter 11 o1F th�s Code. After such connection has been made,the bVater and Sewer Oepartmerrt�al!be raotified, tt sf�ail be untaarCvl#o ca
aray connecting dine u�rtil an ins�rection has t�een anade and such con�ectiaa and#he wnrdc inciderrt i�tereto has been approved by the City as
proper and suitab;e connectiora.
402A6 �iEPAiRS l�lRiD�PtAtNTfNANCE TQ COl�tNECTdON
After the tniCiat cannection has been made to the wafier seraice curb stop baec or tFRe sewer fead at�e propert��line or a rrafier senrice�ead h
beera exfiended to�Che property line for connectian,the appiicarrt,owner,or accupar�#or user o#such premises sFrait be fiaf�le for a!1 sepairs
requirec!to any water line and sewer l�nes necessary far+cannection of the premises from the main to the premises. If the pra{�er(,y ormer
�equests mairrtenance senr'rce or repairs be perEvrmed fry the C-rty,the�Sro�erty rnwner shall he charged for#he�osts af the snaimenar�e and;
repairs,�nduding ne,cessary y-treet repairs at a rate se#annually b�an adrninistra�ive poiiry. tC shaft be 1�e respons�iCrt{o#the app;icarrt,
oavner,accupant or user to perform st�ndard inaintenance of fihe sewer senrice(ine from the premises to the rnain 3ridudir�g debris dearing�
rvut cutting as�d to mairrCain the wwater service curi�stop box for operabs(ity and at such height as udil ensure that it remai�s a(�ove#he finishe
grade of�he lar�d or praperLy. �Ref 638,1156.1191�