Meter Swap � Request Number: 13707
Public Works Division
Service Request
Problem Address: 6191 Rice Creek Dr Requested By: A�1 Cazlson
Departmeat: WA1IIt Addresa: No ad�ress providcd
P'toblem/Issue: INSTALL AMR METER Phone Nnmber: 612-232-2642
. Sche�lol�qd Date: 2017-03-01 Sc6ednle�11me: 08:00:00
��� S T
ACIION NEEDED:
Created by: Wcndy Hiatt D�Cre�ed: 201'I-02-28
AC1iON TAKEN:
��-��-�-�� ��`�..�-
Status: 1n Progress Snbmitter Hn�Been �..,
Coutacted
Date Completed: Completed by:
� � ' � 1 � �
� �
�-rae�te�, b�6� ��4L.3�
���-���-���� � ( �'-4 i c� o� �—c�3
9/�a� here!oy autho�ize ttse�ifiy o#�ridley and/or its emptoyees to�to whafi ss necessea
' regalace the urater�aetec. 1 vnclerstand 3�at�he�rogaea�ty owner�s�iai�le for�e�vater line from�t►e anain to�ea prerrsise and a1t ia�terirnr
. �taarra�sing. �per�C"rty cosie�.t32.OG� 3 also�oic!the�r'rtty�fi Fsidle�and/"rts�mgsloyees harmless for a»y�lemages�at snay�ccur wlaile doing
o�aee�aRior�_ ��s to�nclude,�sut no�9isa9sted io vatves>p�ping,wa(Is,f600rs�r t�ae cur9a stop boz ared senrice 1ia�e_ In�snd�rsiand�am also re
to ota�aira a peranrt�ars"ar to any�eror�,i�F�ecessarye n
��✓
��D � �/
F9NA1�IAEi'ER READiRiG�ol mefierj � O `� Q
�lame• r l Address ��— 1� �1[��-��(L2Q �— �"'
Pfaone 4Yumbes(� ��f �"�J v�`���� �� �"' ,�
��� tlltitness sig��ature
�L� ����� �� �� �� ��
atD�����G_i �(� � �. O
i1tEilV�I4E�ER#�� t0 �- 1 �
NEVfi-�T�14� �
E9t�# � � Y�� � �
��iIDLEY CI'�'�'�C113�
c��►�-���oa.�var��,sro�wa-rE�a�r�sas�rrra�v s��t
aot�nn�os-��a�-tc�
�1��CBrd�to 133,�&4,565,566,629,635,�62,92Z,988,11�,ii5fi,1191}
4U2.� PERM97 FEE
Prior to constructing or gepair of any wa�er of sewer iine connecting the exist�ing attunippat system and arry�ouse or buitdirdg for which the
apptication is made,the oamer or corrtractor shai!be required to otrtain a permit for such connection,and sfw4i pay a permit fee as providec
Cha�ter 3.3.of#his Code. After suci�connection has been rnade,the Wat�r and Sewer Departmerrt shald be raatified. it sf�atl be uotawfu!#u cr
aray connecting dine uma!an inspection has been anade and�uch con�ection and the rrorgc in,cider�t#hereto has 1�een approved by the C"rky as
proper and suitabte connectior�.
4[l2.06 4tEPAlRS a4AlD 9U�AfiYTENA�1iCE TCJ CONNECTiQN
�ter the initia!connectivn has been made to the wa�er service curb stop(�c vr t�e sewer fead a�i�e property i�ne or a water service iead h
been ex�teraded to the property fine for connedian,the appiicartt,oumer,or accuparit or user af such premises shaii be ifabie for aii repairs
require�!�o ang water line and sewer lines necessary#ar connection of fihe premFses from the main to the premises. 1f the property Qwner
reqaests mairrtenance service or repairs be perFormed hy the City,tE�e pcoperty own�r shatl be charged for the�af the mairrterrarn:e aqd,
repairs,inciudirag ne+cessary street repairs at a rate set annua�iy by an adrninistrative pol�cy. tt s6aq be i�e respons�itiiiy of the appiicarrt,
awner,oscupar�t or user tv per�ornn standard mairrtenance of the sewer service line from i�te prem�ses to the main dnduding dehris de�aring c
roat cu�tCing and tv mairrCain#he water service curb sCop box for operability and at such�eight as wiii ensure that it rernains above#he fltnishe
grade af kf�e�and or properky. (Ref 638,11;56,17192j