Meter Swap � . � �3��5
Request Number: 1 4
Public works Division
Service Req�est
ProMem Addres8: 6560 Stinson Blvd Requested By: Delores Schia�aosld
Department: WA'IE[t Addreaa: No ad�ess provided
Probiem/Iaa�ce: INSTALL AMR ME1ER Phone Nnmber: 763-571-8536
Schedulcd Date: 2017-03-14 Scred�led 1ime: 01:30:00
� ��l`'` '
ACTION NEEDED:
Created by: Heth Kon�rick Date Cre�ted: 2017-03-02
ACIION TAKEN:
Status: In Pro ss Sabmittcr Aa�Bae� �.,
� Co�acted
Dxte Completed: Com�deted by:
� - �
� 1� l�
��3-s7�-3 s��
9/�,a� iae►�e6y au�horize t�ae� vf�rid!
re{a9�ce the�er�raetec. D�anderstand tdaat�he ro e � eif and/or its einpdoyees to do wvhat ds nece$s
g� �a a�y owner is�iable foa'-�#ae�afier 4ie�e frnm the s►�ain to�ta premise and aii iatiterio�
" ' 'ptaasxai�ieag. (l�ea��#y soc9e�LQfs� 8 a$s��tol+d ti�e�'rtt,�f�Sastley aad/"rts erra�lr�yees 9�armless for any siamages ttazt masf occur arfiite�loir:
�per,afilon. �'4ais fio�ncfuc8e,4�u$reca�dasas�ec!to walves,�a9g�ing avadfs,fd�nors oc t�ae�a.erb stop&�ox arad seavece lis�e. Irn undee�stand�am atso
tcx oiataira a perrnit gars"ar io�eay rror�,if�ccessary.
�4RtAL�4JfETER fBEADIfYG�oW snefies� �� ` " (Iv
iltaene: ��� ���/' Address ��1.�d ����-�'L�?�Z� i ���U �
�
Pi�orfe�fumber�� � � ����p Daie_-��'"1'�'��� y
S�greatctre
6Vitraess Sigrsaf�re_ �t
\
O�.D�e�a�� � �
�LD�����G 2�°��o g� �
��
---� ���- ��,
ie���M�ER�� , �
����; .. 49062872 i �
� —— — �. �"
— --— �� � ��
��� ���������������������� �
���#_"_ � �_ 71800742�
�FP.�t�[.lEY Ci�'�l�t�DE
CI-�A��'EE�Q�OZ.YVA7'E�R,STORIV6�A1.��i fAA[[9 SANtTAt�Y SEWER
A�NI 1i►19S7"ti�4,�8�l1t
���i/�6�{ Y!����p°l9C7#y��.Dy��g��J��3�y�V���y 790p 1�g+�F�117V�:L171� .
402.5 PERlV(!T FEE
Prior to constra,�cting oc repair vf arry wafier of sewer ii+ae connecting the existirsg rnuni�apal system and arry�ouse va tauitdirig fot uv(�+ich the
application is made,the oarner or corrtractor shaIf be required to obtain a perm'st for such cannection,arrct st�ali pay a grermit fee as provide
Chal�ter 3,�of this Code. Ai'ter suci�co�rnection has been made,the�itater and Secnvver Departmerrt sha!!be no '�f"+ed. �t shait be un{awfu!tc�
ar�y cons►ectang Cne unti!an inspectian 4�as been anade and such connection and the worgc inciderrt thereto has been approved by i�te C'rty a
proper and su�tabte connection.
402.05 ltEPA(RS At6t��{tAl�il'E11iANCE TO COM�IECTION
After the�nitiat cortnection has been made�o the water service curb stop box ar�t�e sewer iead at fihe properGf iine os a water service lead
beea e�cfies�dsd to fihe property line for conr�ectian,�e appiicarrt,owner,or accu�arrt ar user vf such premises shati be tiable for ail repairs
require�i to arn!��er line and sewer iines necessary#ar connection of the prempses from#he main to the prem�es. tf the property ormer
requesks mairrtenance sesvice or repairs be perforrned 6y the C'rty,the y►rope�y owner shaii 6e charged for#ie�of�e mairrtenance anr
�epairs,isac�udis�g ne+cessary sCreet repairs at a rate sei annually b�r an administra�i�re policy. tt sf�a(f be ti�e respons�il'rty af the applicarr�
owner,occu�rarrt mr user to perform standard mairrtenance vF the sewer seraice line from the premises to the main ir�d�ng debris dearirig
root tiatCing amcd to mairrtain the mrater service curb s-Cop hox for operaf�ility and at such�aeight as�n1i ensure that#t recnain,a1�ov�;�he fimsh
grade of ti�e land or property, �l2ef 638,1156,1191j