Meter Swap - Request Number: 13610
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Service Request
Problem Addresa: 1430 Rice Creek Rd Requested By: Caroline Olson
DepartmeM: WA'IFR Addres:; No ad�ess provided
Problem/�sa�: INSTALL AMR METER Phoae Number: 763-571-1959
Sc�duled l�te: 2017-03-01 ScNeduled 11me: 07:00:00
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Created by; Wandy Hiatt Date Cre�eds 201�-02-23
ACIION TAKEN:
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Status: In Progess Submitter Has Beea �
CoMuted
Dsite Comptlted: Completed by:
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9/11P� her�6y authorize the�'rty�#F�edley anc!/oe-its esn�loyees to sto vvhat is necessary
, reg�lace�he�era�ter rneter, i understand ti�at ihe�ro�oea�ty owner as liable for the mvatec line�rom the main fio�+he premise and ail iaterior
�lurralsing. (Per�City sospe 4�206� i adso�told the�"rty��e�idley and/°ri�s em}sloye�s harmless for eny�lamages tfiat rraay�cccur while doing t
„ o�OeraYFon. �tais to 7nclucPe,but raaR 9im�#ed to valves,p9ping,drratfs,�loors or�J�ee curb sto�o box and senrice lia�e_ 6rt�nderstand i am also s�es
to ot�taira a perrn'rt prior io aery�eroric,6f�ecessare,_
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Signature �, Ntitness Signatvre
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FRDDLEY�igY CpDE
CHAP�'ER 4UZ.WATER,STOR4kl!WATER AN�S�kkNITA4�Y SEWER
ADMIA1l5'6 itAT1�N
�Ft�f Orcf No 113,464,565,�66,629,638,�62,922,9$8,1144,115�,1191�
402.5 PERMI'1'FEE
Prior to constructing ar repair of any wa�er of sewer tine connecting the existing municipal system and arry house or buildirig for vrhich the
appiicafiion is made,fihe owner or corrtracto�shatl be required to abtain a permit for such connection,and sfaali pay a permit fee as provided
Chapfier 1Z of th�s Code. qifier sucfi�onnection has been made,the Water and Sewer Depa►-tmerrt shatl be notified. Pt sha(1 be ur�taarfial to ca
aray connecting(ine until an inspecs:iion has 6een made and wch connection and the wordc inciderrt thereto has been approved by the Citg as r
proper and suitable connection.
402.06 ltEPAiRS ARID l�tA1N7'EfYANiCE TQ CONIYECTfON
A1Fter the initiai connectiort has been made fio the water senrice curb stop 6ox or the sewer lead at fihe praperty line or a water service lead ik
been exfiended#v the prvper[y line for connedaan,the appticarn,odvner,or accuparrt or user o#such premises stTali be ikibte for all repairs
required tv any wafier line and sewer lines necessary for connection of the premises from the main to the premises. tf the property owner
requests main#enance service or repairs be perFormed iry the City,the property owner shall be charged for#he sosts af ihe mairtterrancae and/
repairs,inciudtrag ne,cessary street repairs at a rate set annualty Iry an administrative pol9cy. R sha(1 be the respons�Tity of the app4icarrt,
owner,occuparrr or user tv perform st:andard mairrtensnce of the seurer service line from fihe premis�to the main aadudi�deqris dearing o±
raofi cutting and�o mairrtain the water service curb sfiop box for opera�ility and at such height as wiii ensure Chat�t remains above the finishec
grade of the land or property, �Ref 638,1156,1191j
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Date � 4`�-�
Old Meter Number ~ '� ��� �J
old Meter Reading �y���
Replacement No. ������'rj��j
Replacement Reading �
Replacement Make ���.
Remarks: -(� ,t11.�� .
Signed �r�" ` '�'`�