Meter Swap �.
' Request Number: 16625
Public Works Division
Service Request
Problem Address: 563 Ely St Requested By: Christina Berglund
Department: WA'IER Addreas: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 763-785-1903
Scheduled Dat • 2017-08-18 � Scheduled 13me: 11:00:00 '
�
AC110N NEED :
Created by: Wendy Hiatt Date Cre�ted: 201'7-08-08
ACTION TAI�N: � �
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Status: In Prog�ress Submitter Hxs Been r
Contacted
Date Completed: Completed by:
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��''Y� hereby authorize the Crty of�dPey artdj+or its amptoyees to�o wha#is necessanJ t<
replace the weter�neter. !�sr�derstand that the property ovvner�s 9iable for the yvater line from the rnain to the�rsmise and all ir�teraor
�lura�bing< {Per�Cfty�ode 4P3Z.�6� !atso hold the�it,d�#Frsdley andJits empioyees haronless for a�y daeanages that rnay occur white+3aie�g fit�i:
��merstion. This tcs anclude,best nat limiied to vabes,piping,waBts,floors or the ca�rb stap box and service line. dn understand i srn atso�equi
to obtain a pes�rseit praor to any work,if necessary. �
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Wame:`���� �"� Address �� � ��
Pha�e 4Yumber ��� � � o� p� 1.�`' � ` `�
� Si�nature �l �F/itness Signature
oL� ME�ER� Y� V��� •�
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C�9A�'E!i 4�fl�.1�VV��ER,S�"�R6V!1NATER AiVD 5AN9TARY SEEPJVVE�
ADMlAtlSTRATION
(�ef Orcd R1m 113,4�,555,566,629,538,662,9�2,488, 1144,1156,1191}
402.5 d�ERMIT�EE
� Priar to�onstrucCin�or s�epair o#any water o�F�ewer iine connecting the existing rnunicipal system and any house or bu(iding for which the
application is macie,the owner or carrtractor shail be required to afitain a persnit for such conrtection,and shail pay a permit fee as provided is
�hapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shaH be notified. It shall he untavufui to coV�
any connecCing tine untif an ins}sectiore has been made and such connection and the work incident ttiereto has t�een approved try the Cifiy as a
�roper and suitabie connection.
402.06 ftEPA1RS A�tD MAIW'1'ENANCE TO�ONNECTIQN
After tf�e 6�itiai connecEion has been made to the water senrice curb stop bax ar the sedver(ead at lfie property�ine or a water service lead has
been extended to the�roperty iine for connection,the applicarrt,awrter,or occupanfi ar user of such premises shai#be liable for alt repairs
required to any water line and sedver tines necessary fo�canaection of the premises from the main to the premises. FF the property owner
requests rttairnenance service or repairs be performed h}{the Crty,the property owner shall be charged tor the costs of the mairrtenance andJfl
repairs,inctuding necessary street repairs at a rate set anr►ualty by an administrative poiicy. it sha(I be the responsibility of the applicarst,
owner,occuparnt or user to perform standar�!mairstenance of the sewer service line from the premises to the main includtng�lebris clearing or
root�cutting and to maintain the water senrice curb stop box for operability and at such height as wilf ensur�that it remains above the finished
grade of the tand or proq�erty. (Ref 638,1156,1191)