Meter Swap z Request Number: 16592
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Public Works Division
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Service Request
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Problem Address: 21 77th Way Requested By: Allan Hoffer
`� Departm�rit: WA1ER Address: No a�ress provided
Problem/Issue: IN5TALL AMR METER Phone Number: 612-715-0330
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� Scheduled Date: , 2017-08-21 Schednled 13me: 11:00:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 201'I-08-07
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Status: In Progress Snbmitter Has Been `r ''"`
Co�xcted � " ~
Date Completed: (�,. � �� '�'] Completed by: C�\, �
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��''�� hereb,�authorize the�ity of�ridiey andjar ats emp9oyzes to do what as aecessarq t,
a�egsiace the�nrater meter. !�saderstand#eat the pr�pec-t+j�vner is�ia�le for the avater line from ihe rnairt to the prerreise and all irtter3or
�iunnbing. {Per�'�ty sode 402.a6� s atso hoict the�ifij af Fr'sdtey andJits employees harrn(ess f�r any daenages that rnay occur while doing thi;
o�xerataon. This Lo�nclude,4aut not limited to valves,piping,�va8is,f800rs�r YFse airb stop box and seavice fine. in understand 3 arn afso raqui
to abtain a permit praor to any wortc,►f necessary.
�N�.owerE�REauan��{o�d meter) �t!/3��o{-�/
Narne: ��(� 1�lJ�(�"�ir Address_ � � ��k� �G��'
. Phone�fumber ��� " `{ �L.� ". ��j3� �ate � O'�,'— � �
XSigna�tsrr Witness Signature ��
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FR6DL�Y�9�'V'CODE
CFBA�P'CER 4��.�1/ATER,STtDRM VI/ATEIi AtRiD SANiTAIiY SEWEOt
A�MHN15fIiA,1'ION
(�ef Ord No 113,464,565,566, 629,638,56Z,3�2,988,114�4,1156,1191�
4025 PE6tMlT�EE
� Prio�to�onstructing ar repair ofi any water of sewer iine co�necting the existing municipal system and any house vr buitding for which the
appl+cation is made,the owner or contractor shall be�^equired to obtain a permit for such connection,and sha(i pay a permit fiee as provided ir
�hapt�r 11 of fihis Code. Afiter such connection has been made,the Water and Sewer Departmerrt shall be notified. It shall be unlawfoi to crov�
any connecting line urrti(an ins,pection has been made and such conrtection end the work inciderrt thereto has t�een approved try the City as a
proper and suitable connection.
402.06 REPAIRS AsIED�11AIN'�'�EfVANCE TO�OPINECTIQN
After tt�e initiat sonnection has been made to the water service cur6 stop�Oox or#he sewer iead at the praperty l�ne ar a water service lead has
been extended to fihe property line for connection,the appiicant,owner,or occupacrt or user�f such premises shall be liabte for all repairs
required to any water line and se�ver lines necessary�or conRection of the premises from the main to the premises. if the groperty owner
requests rr►airrtenance service or repairs be perFormed by the Cety,the property awner shall be charged for the costs af the maintenance ar�djo
repairs,�ncluding necessary street repairs at a rate set annually by an administrative po(ity. It shaf!6e the responsibility of the appiicarrt,
owner,occupant ar user to perform standard mairrtenance aF td�e sewer service line from the premises to the main inctuding debris ctearing or
rvo#�utting and to mairrtain the�mater seniice curls stop 6ox for operahility and at suct�height as wili ensure that it remains above the finished
grade of the tand or property. (Ref 638,1156,1191)
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