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Meter Swap Request Number: 16705 Public Works Division Service Request Probiem Address: 254 Liberty St Requested By: Lynn Ranko Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 612-434-0425 Scheduled Date: 2017-08-17 Scheduled Time: 09:00:00 ACITON NEEDED: Created by: Beth Kondrick Date Created: 2017-08-14 ACT[ON TAI�N: . . ..................�._�_5".` ......_I..................._��_�......................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... ................................................................................................................................................................................................................................................................................................................................................................................................................... ..................................................................................................................................................................................................................._..... ......................................................................................._ Status• In Progress Submitter Has Been r ' Contacted Date Completed: Completed by: �j� 1�,- 1�1 -�� ���,�- 1 � ' Car�c����e��s��� �����.���������� ��v- ��37�'�3 ��3�.�1�����sa��,e��rae�e�l� ���a���e?�,a"��9 ���3� � ��l� 7�3-��Z-3��� ' / ��''v� herebe�asa$�aorize t�se City��a�idley ae�ei�'�r ifis�rse�e�a�ees�o dc��vd�at is necessar^� ���tace��e,�rate.r metzr, �u�d�rstanrd I�aafi tt�e,aro�er��ouvner ds�iabie far�t�e�eratar�ine fr�ra�a the nna6ra tsa fihs or�se�ise and ait ae�tera�a- �desrr�bin�e {9�er�i��cxas#e��.�B6) �a�s�a#eo8cfl��Se Li�y of��c�qey asa�d,✓ii��sraplrs�ees harmdess for arsy da�nag��at�may occur w�ite cioieeg� c�q�ea�ati�an. °3"his t�in�aarle,�u�noC limite�to valves,9ai�i�ag,��rasts,�800rs nr t�ae cur�s stop mox ar�rd ser�ric�liree. dn,�ndersfiand 3 am aism�Lc ��fl�atairt a�er�rait�arrto��o aray w�r(<,if�►ec2ssar�_ ��t�A,s��wi��4�Es�et�Arii�{a�d r�ttetes'� ��`J a ��� ,� Y�"' � / 5 �J �farrne•�_V��,.� �' a�ddrass ��� L I �'r � �6 L'i�l /�,� �/ �hone�&uer�ber V 4 �'" �ate�_ ��y �� � �igssa�arp iAlit�ess Sige�ature ��� ����� _ � � �l � � ��� ������� �Z ��b ���� ������ �� ������ ��� ������� � ������—'�1 ��e�'�2 �����.��������� ��,��-�������,������, �-��� �+r;��������a���-��°������� �����as���-��r� �����r����.�3,�m�.,���,���, ���, �3�,���,��Z,9�8, 11�, �..�.5�e 1�.3�� 4t32.� ���ZMd3'��E � �rfior t�constru�ting or re�aaia-of any yvater of sevuer line conne�t6ng cl�e zxis�ing mtanici�sa(ss,�stQnn and any hawse or bui(ding for�Nhich the a�a�iicatior�is rnade,t�e vwner or contractor shall�e rec{asired t��btairs a perrnit�or suc�s�o+�nectic�r�,and si�ail�aq a�errnit�ee as provided Chagate���.of chls�ode, A��r sucf�connectiort faas�aeen made,ttae�Alater and�enver�epartment shail�e notifiest. �t shal!6e uraiavu�!to cc an���mranecti�g dine s�nti(an�nspection�aas�Seers made and such ca�roectiar�and the�,vor�c inciderat L�iereto has asen approved�y the Cit��as� �Sro�nes�and scaitabae coeznection. 4(➢Z.�6 RE�a812S As1E�i1t1A��P1'�"�NsIiUC��CP�2DiVIVE�C't'40S�t i�fter tfae init9ai connectioc��as seen rttade'to the water servic2�us�sto��ox or*€�e se�nr2r�ead at the�aroperty line or a wiater service Iead h; 4seero exder�ded to t�ae�rvperty line for cannection,the aqs�slicant,awner,or ac�u�aant or usea-aF such premises sl�all he liatvle for atl repairs rzquirec�eo an,�wa#e�r fine arac�seuver►ines necessar�for connection of tt�e premises fr*�rn�he ma6n to the�rsmises. If the propert�r ow�er requesks�ttaBrnenance servics or repairs be�xerformed oy rhe�ty,the oroperty owrner shai!�a�charg�d for the costs of the maintenance and� rePairs,iracPudir�g ne�essan�street repairs at a rate set annuaiiy o�an arlsnqnistrativo poiicy. 9t shaif be the responsibilifi�of the appiicant, a�arner,oc�uparat�r user to�erform standar�d rrtaint2nance of tf�e seuver servf�ce line frorra the premises to tbe main inciudang debris clearing a �-�v�caat-ting aa�cT to maintaira the rNates senrica curb sko;o box for o�e�abili�y and afi such height as'N1II 2nSUP?khat ifi romains above*he#inishe g�-ade ot the iartc!or prfl�aertyr_ (,�Ef�38,315�,11J3.j �\