Meter Swap y Request Number: 11631
Public Works Division
Service Request
Problem Address: 5559 Waldeck Crossing Requested By: Mohamed Elshourbagy
Department: WATER Address: No address provided
Problem/Lcsue: INSTALL AMR METER Phone Number: 651-592-1896
Scheduled D e: 2016-07-01 5cheduled T'ime: 11:00:00
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ACITON NEEDED:AMR �
Created by: Wendy Hiatt Date Created: 2016-06-27
ACTION TAI�N:
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Status: In Progress Submitter Has Been r,
Contacted
Date Completed: Completed by:
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Hiatt, Wendy
S+�bject: MOHAMED ELSHOURBAGY 651-592-1896 AMR INSTALL FOR NON RESPONDER LIST
Location: 5559 WALDECK CROSSING NE
Start: Fri 7/1/2016 11:00 AM
End: Fri 7/1/2016 11:30 AM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Hara, Sandra
Required Attendees: Hiatt, Wendy
i
. City�ff F�idiey
- . . __ .. V►Jai��D�epartanent ... . _� _, �. -
Y • 64�1 University Aven�a�NE
Fridley,MI� 55432
(763}572-3566
1/we hereby authariae�a City of Fridtey and/ar its
employee�s t�dv what is s�ecessaeZv#o re�lace the wat+er meter, (►�er�tand that the propert�awner
's i�iabl�f�r the water line from the main ta the premi�e and aQ ir�raor piumfiing. (Per tlty code
A02.#16) i.ats�hofd the C�ty nf t�ridley and/'�emptoyees harmf�ss ar any amag�s ai may _
� �hile doing ifiis aperat�on. This t�inciude,but flot lit[tited toiYattues�P�}7i�►u w�llsr�Iours or t�curb
�ap 6rnc and sarvice liner 1 understand t am also required to ahtafi a p�rmi�prior#o any work,if
necessary, � ��
6 �� �
�nai m�ter read'ing[old rneter) .
Name� Address.��c� ���L�t�
Ph�rne Number• Da#e: �V��l
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Sigrtat�� "°
IN"rtness 5egnature:
�EilDLEY CITY Cl717E
C�f�'�'ER 4�Z�WA�'ER,5T�}RM W�►TER,A�fD�1tTAR'f SEWER
A�M(N15TRAT10�1
�Ref Ord�lo�.13,464,555;�66,6Z9,538,662,922,988,1144,1156,7.191�
40�,05.f��RM6T F£E �
Fricrr to canstructing or repair of any water or sewet lins cflr�nec6ngtfie ex3�ing municipat sys�em and any hnuse
ar buiiding for whict�the app�cai�c�n is made,#he awner°r c¢�►'��°t��li be required ta obtain a permi�for such
canrrectian,and shal{pay a permi�fee as p+'o�rided in�apte�3,1 of�nis Cade. After such connectian has�een
made,the Water an�Seruer l�epartrnent shail be notified. (t�hal!6e an4awf�1 to caver any connecting Gne un#i!an
inspec�inn has heen made and such connectian and the work incident theret�has been approved by the C'ily as�
prnperand swtable connectian.
4��.05.REP�►1RS ANf�MAiNT��1IANCE TD CdNNE�'i'1Cli�
��,���iA�. ._ �__�___�,�.a�+„��,�aterservicecurhstapbaxnrthesewerleadattheprapert�
line or a water service or sewer lead has been exterided t�the propertyfine for cannechon,#he applica�,nwner,
or the occupant or user af such premise�shail be iiabte far aiI repahs required i�atry water iine and sewe��nes
necessary for connectian of the precnises from the rnain ta the premises. tF�he propetky owner requestt
maintenance service�r repairs he perforrr►ed by fhe City,the Prflpextty awner shall be�►arged far the ctists of the
maintenance and/ar repairs, including any nece�ary street repairs,at a rate set annually by.an administrative
palicy. It shali be the resporwi6ility of�he�pplicantr awner,occupant�r user tn perFarnt 5�andard rnaintenance of
� tfie s�wer service Gne from the Premises tfl the main inc{u�ling de6ris dearing or raat cuttiag and Co mairitain the
water service curh stop hox for operability and afi such heigfit as vu�l ensure that it remains abave the finished
. _
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