Meter Swap Request Number: 16608
Public works Division
Service Request
591 DovEr St Requested By: Timothy Miller
` � WATER Address: No address provided
Problem7�ssQe:-- INSTALL AMR METEK Phone Number: 763-'780-8766
Sche�ed I�ute: 2017- 8-28 Scheduled 11me: 07:00:00
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�CFION NEEDED:
Created by: Beth Komirick ihte Created: 2017-08-07
ACTION TAI�N:
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_....___.._____._...................... __.. . .. ..... .........�.M�.W_._.._..___�___._...................... �._...._._._....._..........._...... __.__..
Status: In Progress Submitter Has Beea r..
Coats�ted
Date Completed: � „ 1 Q � !� Completed by `
d�(l . ��l,lt-�'
`�1'��ID'�F9'��Q�� ����'""�C.t��'�� `��1
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. ��3�.3d�ai��rsafiy A��rac���� �+
r Fr'gdl���,�'19�! 5543,� J Q����
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�'�'''v� herebv�aeathorize the City af�+rid(ey and/or its smp(ayees to do wha#as�eecessar�te
r��siace the�,vat2r rs�tet�r. �understand tFaat the�te��erfi�o�ner is�iabte far ine nvater line�rom the main ta the�remise and al!�rrter3or
�lur�abing. (Per��ode 40�.�6j f alsca�told the�'�ty of�ridley�nd/its empioyees�ar�nless#or arry daea�ages that snay oecur while doing thi:
��ee�tion. 7'hes tm�nclude,fsut r�at�imited eo�alves,pi�ving,watds,#Eoors or tlhe curb stap box a�ad service 9ine. in understa�d 3 am aiw�ui
to obtaira a peerrait prior to aroy wcrtc,if�ecessary.
�MAL ME1'�Ei ltEAD6RiG(aid meter�_ ��.L�� vnj ���
Name:����f M 1 �'`e � Address � L 1 1/o�� � -
Ptrone Number ! lL�� " ` � �/ T' ��Vl� g" �� � ��
��i n t�!"�tness Signature '
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�HA�'�'E48+�tl2.1NA�'ER,ST�RAIt WATER AND SANt7"ARY SE4N�R
ADM9tVISTRATION
��ef Ord fVo 113,464,,65,566, 629,538,662,922,988,1144,1156,1191}
4Q2.S PERMlT FEE
� Priar tm�onstructing ar repair�f arry water vf sewer(►ne connecting the exisrting municipa(system and arry hous@ or building for which the
appiication is rrtade,the awrter or corrtrackor shatf be required to abtain a�ermit for such cortrtection,and shall�ay a permit fee�s provided ir
�hapter 12 of this�ode. After wch sonnection has been made,the lNater and Sewer Departmerrt shail6e notifled. it shall be unlawfut to cov�
any connecting line untit an inspectivn has been made and such connection and the+,vork indderrt tfiereto has been approved by the City as a
praper anct suitabie co�reection.
402.06 3tEPA(RS AiYD MAIN�AIANCE'C�CONNECTION
After the anitiat connection has been made to the water senrice curb sCop box or the sewer tead at the property lirte or a water serv+ice lead t�as
been extended to the property line fo�connection,the appJicarrt,awrter,or occuparn ar aser of such premises shall be Itable for a11 repairs
required to any water line and sewer lines necessary for connection of tfie premises fmm the main to the premises. ff tf�e property owner
requesfis mairttenance service or repairs be pecformed fry the�fij,tf►e property owner shait be charged for the costs of the mairttenartce andJa
repairs,includirtg necessary street repairs at a rate set annuaHy�y an administrative policy. !t shall6e the responsibility of the appiipr�t,
owner,occupant ar user to perform standard mairrtenance of the sewer servi�e line from the premises to the main inctuding debris ctearin�or
root�utting and to maintain tlae auater service curb stap hox for operability and at such height as witf ensure thafi it remains abone the finished
grade of the fand or property. (Ref 638,1856.9.191j