Meter Swap ' Request Number: 13632
Public works Division
Service Request
Problem Addreas: 5988 Woody Ln Requested By: Terti
Department: WA1ER Address: No address provided
Prol�em/Issue: INSTALL AMR ME'IER Phone Number: 763-574-9038
Schednled Date: 2017-03-07 Scheduled 1lme: 1D:30:00
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ACIION NEEDED:
Created by: Wetx�y Hiatt Date Created: 2017-02-24
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ACTIOAi TAI�N: _
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Status: In Progress Sabmitter Hu Been �,
Cout�cted
Date Coa�pleted: Completed by:
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, 9��°� heretoy authorize ttae�ity a#�sidley andror its e�npioyses to do avha�t os nece�sarg
regolace the oerater meter_ 1�unclerstand t�at�he�roperty oarner 6s liable tor the�rater line�rom the main to�e premise and ail irrterior
� �lurraising. (P�er�C"rty code,4�y.06� 3 alsa�old the�'rty�f F�idiey andfits em�sloyees harmless for any�Jamages ttiat a�raay�nccur rrhile slaing t
operation. �'his#0 9nclude,but r��8ias�i#eet to valves,piping,rya(is,f�+noe�s ar�se curb sto�►�x arec{service line_ in understand I am also ses
to oiataice a pera�nit pr"so�to any�er�nr�c,if necessaea�_
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Pitone A(umf�r��(J S���� � � —� ��
Signature Witness Signature
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FRt�LEY CITY COD�
Ct�A9�'1Et�402.iNA,TElt,STORM iNA�EIi A41tD SANITARY SEWER
ADNtIRliS'D'RAT��P
�l2CGf O�'Cp BIiO 21.3'�64'sG5'�66'629�638�662'92Zs 9$8y 11$�r 1I55�1191}
4UZ.5 PERAAtT FEE
Prior to constructing or s�epair of arry water aF sewer�ine connecting the existing rr�unicipai system and arry hause or bui[dirig for w6ich the
appiicafiivn is made,the owner or contractur shat!be required to olrtain a permst foc such connection,and shall pay a permit fee as pravidec{
Chapter 1a of this tode. After such connecfiion�as been made,#he tAlater and Sewer Departmerrt shal{be nati�ed. tt si�aii be untawfu!to ca
any cvnnectang tine urrtil an inspection has been anade and such connection and the war�c inader�t thereio has been approved by ihe�ity az�
pro�er and su�ab;e connecfiiora.
4fl2.f35 9�EPAiRS AND�IiA1NTElHARICE TO COAiNELTit?f�i
A�ter the initial connection has been made to the wafier sesvsce curb stop bo�c or the sewer tead at the propecty itne or a water s�rvice lead�
beeo extended#o#se property tir�e for conreection,the applicarrt,o�vner,or�cuparrt or user oF suth premises shali be liable{or all repairs
required�o any water dlne and sewer linr:s necessary#or connecCion of the p+remises from the main to the�remises. tf the property owner
requests mairrtenance service or repairs be perE'armed iry the C'ity,the prope►�#y oxvner shatl be charged for the costs af the matrrtenance and/
repairs,includirag necessary street repairs at a rate set annuaiiy by an administratiwe poticy. �t shatt be 1�e responsbitityi of tfie applicarrt,
owaer,occupasrt or user to perForm standard mairrter�ance oF fihe sewer service line from the premises to fihe main and�ng debris dearing o,
roofi cutting and to maisrtain the water service curb sto�hoK fo��perabil+ty and at such heighC as wiil ensure that it remains above the flnisfier
grade of the land or property_ fRef 638,1156,1191j