Meter Swap Request Number: 14021
Public works Division
Servlce Request
Problem Address: 1561 Rice Creek Rd Requested By: Alyssa
Department: WA'IER A�dresa: No address provided
Problem/Iasue: INSTALL AMR METER Phone Number: 612-819-6480
Schednled Date: 2017-03-22 Scheduled 11me: 11:30:00
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AG"TION NEEDED:
Crexted by: Beth Kondrick Date Cre�ed: 2017-03-13
ACIION TAI�N:
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Status: In Pro ss Submitter Has Beee �.,
� Co�actcd
Date Compteted: Completed by:
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B/�ve here6y authorize ttae�'rty o#�ridley anc8jor its ernpioyees to�i�+n�hat ds necessao
�gal�ce�t�e�rra�er�raeter. �aae�d�rstaa�d td�at�he g�ro�nes�Cy ownea��s liable fos�oe�vater line from�he anais�to�lhe premise and all iaiterior
tsle�a"^ab'�g. {P�a'�C"rty�os9e 4�2.�6� 3 alsm�aoicJ the�'rty r�F�sridley and/ats em�laxyees harmless for any�lama$es'�taC rraay�tcur 3erhile�loieag
a�gaeeatiora. �'Paes 40�ncfcade,�aut aa�c 6isnetecl�o vaives,A�P�ng,walis,f400rs or ti�ae ca.arb sto��aox and servece lir�e. �en�asderstand�am alse re
� te�ota#aira a perrnifi�arsa�r to�e�y�eror�,�F�ecessarye ,�
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F4RfA�NfETER l�EADIfYG�o&i meier� � ��� �� �� �`.! � %z� �
Atarrie: �- Address L r J�' � ��. , 1�-
P�aone 9Yumber " r61"( D��^��2" ��
�°�� Witraess Signafiure
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F�IDLEY Ci'9'9P�ODE
CEiA�R dt02.YVA7�;R,5�'ORN!i11�A4.�'E�A11iD S�4�tCfAE�Y SEENER
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�3tef Ors�Nrs 113,4�4y� 638,�f 2,922,988,1144,1156,1Z91�
4Q2.5 PERM9T�EE
Prior to corrstructing or repair of arry rva�ter vf seryer�irae connecting#he existirsg anunicipat syss�em arut arry�iouse oc bu7dir�for which the
applica�vr�is made,the owner or corr�ractor shatt be required to ohfiain a permit for such connection,and shall�ray a permit fee as providec
Chapter 9�2 of th�s Cocle. After such connection has been rnade,fihe�1later aad Sedver Departmert sha!!be ra�ed, t�sha11 fm un{�1��,
ar�y connecting dine urrtil an inspection has been anade and such connection and the war6c inciderrt thereto has beerr approved by the C�rty as
proper and suitahte�onnec�3ora.
4tJ2.06 �?EPAIRs AlRiD�1AINTENARICE Ta CORNYECTfUDJ
A�Fter Che ini�ial connectivn has been made to the water servic�curb stop box or tl4e sewer iead at�thehe propert;►line or a waber service�ead h
beera extended to the property line for connec#ion,the appiicarrt,o+erner,or accuparrt or a�ser aF such premises shafl be IRabte for a}i repairs
reau�red to arry�rrater dine and sewer lines necessary#or connettion of the premises fram the maPn to the premises. tf the progetty owner
reqaesCs mairrkenance service ar repairs be performed by the C'�1;y,t�ae property awner shali he sharged for the�osts of the mairrt�n�c�e ant�
repairs,includirag ne,cessary street repairs at a rate set annuaify�an administratiue policy. tt shat!be fihe responsibit"rty of the applicarrt,
owner,occupant or user to perform sfiandard mairrtenance of the sewer service l�ne from tfae prem�ses to the rnain dacl�rtg debris dearirtg c
raofi cu�tCing and to mairrtain the water service curb stop box fvr operability and at such height as wiii ensure that it remains a6ove the finishe
grade af fihe lancd ar property- (ttef 638,1256,1192�
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