Meter Swap , ' Request Number: 13630
Public Works Division
Service Request
Problem Address: 1470 Rice Creek Dr Requested By: Karisten Kloubec
Department: WA1ER Address: No ad�ess ptovided
ProblemlIssue: INSTALL AMR ME1ER Phone Number: 612-817-5916
Scheduled Dste: 2017-03-02 Sc6ednled 11me: 10:30:00
I ��c.r 2 0�
ACTTON NEEDED:
Created by: Wendy Hiatt Date Created: 2017-O2-24
A ON T.4KF1�1:
_�._ _ .._...._..._...�
Status: In Progress ���r Hae Been r,
Contacted
Dste Completed: Completed by:
. T,�, � - �.
� �
�arY,ay.areouv�ns�c.y�a+dir�6'J@A�9V�
� ��'9Lf'�E�g B1t�@1� �s�4�.3�
Ts�-��z-���� � 1 �_y �� ��c�—c� (�
9��A°� hes�by authorize the�iiy o#�sidley andjor its esnployees#o�to vvhat ds necessary
� rega➢ace the oerater�raeger. 1 r�nclerstand#ha#t{te propea�ty owner 9s�iable for�he�vater line from the main fio the�Sremise and atl interior
� plaer"'s�'ng. {PeP�"rtlf cosie 4�2.06� 3 a�so hold the 2'�ty r�f Fs�isiiey andJ'rts em�loye�s harmless�or eny�la ages t6at may occur rrh7e doing t
o�oer�'tion. l'his#o��cfude,�u$ca�9ians#e�I to vatxes,pipin�walis,floors or tiae curb stop�ux and ser„�ce line. tn�nderstand!am also res
to o�taiea a perrnit�ario�r io any worlc,�ner.essarv�. �`�
�� � �
iF941tfi��MtETER READING aid meterj
�� ' � "�� �
. ����� �-l� � �
fYame. �'�"1�drsss � � �1 P . �
Phone 4Yumber ��i Date �� � y ` '
Signature Witness S'�gnature
o�o��-��� � ,� �� �--� I
�LD�����G��I 1 ti � 0
Rf EiAo ME1'ER# i V I � �
1V�ti�t{9�O
EF�I'# 1 l� 1 � .
FRI[�LEY�il'1f�Cf.�DE
CHAP�'ER�02.1NATEit,STORN!WA�'EF�AND SANtTARY SEWER
ADMIAt15�'IiATdCatUt
�it�f Ors!6Ho 113,�+64,565,�66,fi29,538,�62,922,988,1144,1155,1191�
402.5 AERMIT FEE
Prior to constructing ar repair af any water af sewer iine connecting the euisting manicipal system and arry fiouse or bu�fdir�g fa�which the
�PP���fl��s�ade,the vwner or corrtractor sha(1 be�equired to o6fiain a permit for such connection,and shal!pay a permit fee as psrnrided
Chapter 31 of ihss Cade. After such connection has beer made,the Water and Sewer Departmerrt shali be natified. IL shatl be un{awfui ta co
any connecting Eine untif an inspection has been anade and such connectioa and the war�c inciderrt thereto has been appsroered by tlte Citlr ay�
proper and suitabfe conneclaora.
402.06 REPAtRS e4MD RItA1WTEfYARICE TQ CONNECT7�l11
Atter the in'etial sonnection has been made to the water serv�ce curq stop box or the sewer lead at t(se property iine or a water service)ead('k
beera exfiended to the property lir�e for conrtection,t6e appiicarrt,awner,or accupacrt or user of such premises sfral!be l3able for aA repairs
required to ar►y wa#er dine and sewer lines necessary for connection vE the premises from#he main to the premises. lf the property ooyner
requests mairrtenance senrice or repairs 6e perFormed 6y the C'cty,the proper(,y owner shatf he charged for the�osts af the mairrtenanoe and/
repairs,includirag necessary street repairs at a rate set annuatty by an adrninistra�kive pofiicy. fit sha0 be the sesponsi6Trty of the applicamt,
owner,occupant or user tv perform standard maintenance of#6e sewer service line from the premises�to the rnain�r�duding deb�dearing a
roat�atting and to mairrCain the water service curb sto�hox#or uperabstity and at such height as arill ensure that it remair�s above the finisfae�
grade of the land or p�roperty. (Ref 638,1156,1141)
�- .
Request Number: 11463
Public Works Division
Service Request
Problem Address: 1470 Rice Creek Dr Requested By: Kevin w!MSP Plumbing&Heating
Department: WATER Address: No address provided
Problem/Issue: TURN WATER ON/OFF Phone Number: 763-381-9031
Scheduled Date: 2016-05-16 Scheduled'ITme: 08:30:00
ACTION NEEDED:Turn off water for repair.Bill for water shut off and water turn on.Advised plumber to pull
pemut.
Created by: Wendy Hiatt Date Created: 2016-OS-16
ACTTON TAI�N:
._.
...--�'i �r-- � t
_.................................._...............................�U.12...���..........0{.'t..-...._......_��.........t..............._�.-.v_m��..................................._���"�.........................__..._...._........_..
, ` � r � _
.......................................�'��...._VPc�.-��......1._........�._�...�......�....................._�...`...�.���..._�_As(._�'.�.....��.�..�...�...c..�..._� . _........_.......................................
...... ................. . .....�...
.........................................................................._........................................_...................................._........_......................................................._....................................................................._....................._.._.___........._....._........_..........___..........__._.....
..............................................................................................................................................................................................................................................................................................................................................................._......................................
......................................................................._..........................................................................................._.................................................................................................._............................................................._.........____......_.............__._............_.._.....
..............................................................................................................................................................................................................................................................................................................................................................._..._................................
Status: In Progress Resident Contacted �
Date Completed: Completed by:
. �rJ\��
� �����