Meter Swap i�
• Request Number: 13267
Public Works Division
Service Request
ProWem Address: 1351 '76th Ave NE Requested By: Ttm
Department: WATER Address: No adckess provi�d
Probtem/Issue: INSTALL AMR METER Phone Number: 763-786-8603
Schednled Date: 2017-02-10 Sc�ednled Tlme: 01:3U:00
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ACIION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-03
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ACTION TA1�N:
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Stxtoa: In Progress Snbmitter Has Been C.
CoutActed
Date Co�teted: �— I 0_, �'] Compteted by: ��
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�431 i9nAw�rsity 1�1r+enc�e 9V�
Friciley,6�rlt+l 55432
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hereby authorize#he�ir�y�f�ridley andJoe-ets empioyees to slo what e�necessary
re�alace#he water rneter. i�nderstand ti�at�he pro{aea�ty owner is liabie for the water line from the main to 2he premise aad aii irneriac
plurrabing. {P�r City cosle 402.06j i a$so�old#he C'rt�j o#F�idiey and/its em�aloyees harmless#or any damages tFeat may occur while doing tfi
operation. Ttais 80 3ncPude,!rn,rt not!im'rted+Lo vaives,piping,walls,flooe�s or the,curb stop box and searoice�ine. fn understand 1 am atso req�
to alatain a permiT prior to any aror4�,if�ecessary.
P1tYA1.3VIE1'ER READ19uG�oh(meterj __ � � � I `� �
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Signatvre Witness Signatur� �
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OLD READ[iriG _ � �, � � �� �
RIEFN METER# __ I S �O / ���_
NEW R�IIVG �
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�RIDLEY Ci�f CC3DE
CHAPT£R 402.WATER,STORM YVATER AND SANITARY SEWER
ADMINISTRATION
(Ref Ord No 213,Q�64,565,566,629,63$,662,922,988,i144,1156,1191)
402.5 PERPV(t7 PEE
Prior to canstructing or repair o#any water of sewer line connecting the existing municipai system and arry house or En�iiding for which#f�e
application is made,the owner ar co�rtractor shall be required ta obtain a permit for such cannection,and shail pay a permit f¢e as pravided i
Chairter 11 of this Code. After such connection has been rnade,the Water and Sewer Departmerrt shall i�e notified. 1#shail be uniawful to crn
any connecting line untit an inspection has 6een mada aad such connection and the wor8c inaderrt thereto has t�en apprwed hy the City as a
proper and su�tapte connectian.
402.05 REPAlRS AND MAf N'fEN(qNCE TO CONNECT{fl91f
After the initiai s:onnection has been made to the water sesvice curb stop box or the sewer lead at fihe property line or a water servic�e lead ha
been extended to tl�e property line for connection,the ap�licarrt,oarner,or accuparrt or user af wch premises sl�a[t be i'saWe for�f{repa�rs
required ta any water fine and seaver lines necessary#or�connectinn af the premises from the main to tfie prem'�ses. if the property mrner
requests mairrtenance senrice or repairs be perF4rmed by the C'aty,the property owner shatl be charged for the cvsts af the maurrtenar�and/�
repairs,inciuding necessary street repairs at a rate se�t annualty by an adminis#ra#ive policy. tt shatl be the responsi6ility o#the appiicarrt,
owner,occuparn ar user to perform standard mairttenance oF fihe sewes service line from the premises to the main induding debris dearirig or
root tutting and to mairrCain the water service curb stop box fo�operability and at such height as will ensure that it remains af�ove the finishec
grade aFthe tand or property. (Re�f 638,1156,1191)