Meter Swap Request Number: 13885
, Public works Division
Service Request
Problem Address: 6431 Squire Dr Requested By: Roger
Degartme�t: WATER Address: No address provided
Probtemlles�: INSTALL AMR METER Pho�Nmsber: 612-597-6959
Schcduled 2017-03-15 Sahedaled 11�e: 01:00:00
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AiC"�ON NEEl3ED:
Createi by: Heth Kondrick Dite Crsated: 2017-03-01
ACIIOAT T�T:
Stat�: 1n Progress Snbmitter Hu Bes� �.,
Contacted
Date Con�teted: Completed by:
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9��r� her�ehy autl�o�ize the�'r�o#�ris�ley andJor its empdoqees#o do vv�at is necessaa
re�9ace the water sraegec. i aae�clerstared�a��he�aro�aea�ty nwner�s iia�le#a�s il�ae�rater 4in�ffrom the anain to g{2e premise and all'aa�terior
ptuaraising. (e�er�C'rty eosie 4�Z.Q6� �ads��aoid the�"rtll�Fsidle��ndJSfis em�loqees harmless for ar�y�lamages ttaat e�e�aay�ccur wlaile sioing
oqaeeation. �"'tais fio�ncfude,�ut no�9iaa9ateet to ualves>ga9�in�watfs,�nors or t�ae curts s#o�&a�ox aeed senrBce lia�e_ Irn�snderstand i am also a�
to`otataiea a perrnrt prso�r to any wvr4c,sf�ecessarv�e
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4Q2.5 PERitIfdT FEE
Prior to r.onstnscting or s-epair of any water of sewer iirae connecting the�xisting muniapat system and arry hause or 6uitdirig for whic�#he
application is made,tfae oovner or confiractor sha(I 6e required to obtain a permit'�or such wnnection,ar�d s(aali pay a permii#ee as providec
Cha�rter 12 of�hFs Code. After such connection has been rnade,the Water and Sewer Departmerit shall be not�ed. tt shap be un(awfut to G
aray connecting(�ne un�il an inspection has been anade and�uch connectiora and the wor�r in+ciderrt tFtereto has t�een approved by#he Crtq as
proper and su�tabte sonnectiora.
�OZA6 ttEPA1R��it2�ltA1N1'EfYAhICE TO CORt1f1$CI'10N
A�fter the initiat connectivn has been made fio#he wafier service curb stop box or tF�e sewer lead at the property iine or a wa[er senrice�ead h
been e�c�tended tv the prvperty line for connedian,ifie appiicarrt,owner,or accuparrt ar user of such premises shali be fiabte for all repairs
requires!to any�water Jine and sewer lines necessary far s,��re�Q���e premises from the main to the premises. if tfie property owner
cequesis maintenance service or repairs be performed by the C'ity,the�roperty awner shati he charged for#he�sts af the mairrt�nnarn:e and;
repairs,includirag necessary y-treet�epairs at a r�ate set annualfy I�an administrative policy. tt shaq be tHe responsibiiity of the applirarrf,
m,vner,occu�ant�r user to perForm s�andac�ct mainteriance aE the seurer service l�ree frorr�the premises to the rnain dactu���debrls dearing c
rocrt cutting and to maimCain the water servi,ce curb sfiop box for operai�ility and at such�eight as witi ensure that it remains a6ove the finishe
grade of the lan�d or property. (Ref 638,Z156,S191j
�e�q�� f�r �nrw� Repaa�r�
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