Meter Swap � Request Number: 14107
Poblic Works Division
Service Request
Problem Address: 6517 Pierce St Requested By: Richard ac�d Joyce Lek�g
Depxrtment: WA1ER Addreas: No ad�ess provided
Problem/Isa�: INSTALL AMR METER Phone Number: 763-331-1248
Sched�iled e: 2017-03-30 Schedded Tlme: 09:00:00
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ACTiON NEEDED:
Crexted by: Beth Ko�rick Date Created: 2017-03-1 S
ACTION TAI�N:
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Status: Itt Pro�rreess Sabmitter Has Been r,
Cm►tsected
Date Completed: Completed by:
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4/�v� here6y authorize�lse�ity o#�radley andJsrr its emp�oyees to aio v�rhat ds necessai
�eg�9ace td�e eerater metea�. ��araclery-tand t�a�ttae g�ropea�ty,flwner�s 3ia9�ie fo��he�vater lie�e from tF+e main to�ae premise and all eareerioa-
. ' AtaarraFsing. (Per�C"�ty�os9e��2.�6� �adso�Soid tfie�'cty rJf Fe9dley andjSts em�loyees haa�ss�iess�or ar�y�Jamages#i�sat naay�cce�s�a�hile sloing
J vpee�tion. �6'97is to inelucEe,4�ug rea�8iar��te��o walves,p�ping uva(Is,t3oors os-�ae cur9a sto�o�aox ared service line. In�nderstand i am also�
tc9 aiataira a permi��arioa Lo anry�ernr�,�F a�ecessa�e
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�9'lt��1Ei'ER itEAD1AtG(otct metea�� `�"� � � �l!p � � 3 �" /
l�tame: � � ��/�� attdress � 1Cl �J �� �Y-1�,'���.. � '�
Pl�one 1Mumi�er � i7afie_ . yZ r ��",�
�gnature W�tness Signa#ure
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C!-fAP�'Et��02.IIVATER,STORl1l!W�I,T£4��1ND SANiTARY SEINEi�
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�li�f CD�C�31tte 113,�G4/�65,5658 629�638/f'i62�92Zs 9$8y I1Q/3r I15��I191�
4Q2.� AERMdT FEE
Prior to cons�ructing or repair of any water of sewer lirae connecting t(3e eKSs#ing�nunicipai sys3Eem and arry i�ouse os#wildir�g fvr which#�e
applicativr�is made,the owner or corrtra,ctor shat(be required to otrtain a permit for surh�nnection,and shali pay a permit fee as providec
Chapter 3��of thFs Code. After such connection has been made,fifte�Itater and Sewea�Depa►tm+etrt shall�+e raatified. �t shal{(�e un(aw{yi M c+
aray connecting�ine urrtil an inspection has been anade and such connectaon and the wor8c inadert there�to has been a�proved[ay the Cd;y as
proper and suitatbte connection.
402.Q6 REPAIRS�►EN�AtiAtitl7'�NANCE TO CCDNAI£CTiON
After�Che initia(connection has been made�the wafier service cz�rb stap bax or fihe sewer iead a�t the property iine or a wa�er service lead#�
been extended to fihe property line for connection,the appticarrt,ovmer,or occu�arrt or a�ser o#such premises sfiatf be fiabie for atl repairs
required�o arry water lirte and sewer lines necessary for connectian of the prem�ses fram the snain to t6e presnises. ff the property owner
requesfis mairr�enance senrice or repairs be perFormed by the City,i�e�roperty own�r shatt be sharged foc the�osts of tE+e mairrterrance and;
repairs,inctud'sng necessary s�reet�ep������e�arsnua�iy t�an administrative polscy. ft shal!be ti�e responsilaiirtr�af the applicasrt,
owner,�ccuparrt+�s�user to perforrn standard mairrtenance af tF�e sewer service I�ne from tfte premises#o fihe main aaclutling debris dearing c
root cutting and to mairrtain the water serwice curb stop box for�perability and afi such�eight as baill ensure that it remains ahove the finishe
gratie of fihe lanct or property. �Ref 638,1156,1191�