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Meter Swap ���f�r�er� +r� +�i�iy o# F - �: �t-22-� �e: 1�l4t�i12 T�e: �rat�er �+'� _ W�ta�r ��: �Gu�cla� Add�s= ��Q SY�Yll�liil i_N 1� +G�sadc�� C12a61&7�7 Sdr�d�lmt+e: 1�7i�i12�.-B�A�i {3�: i.�p,�: E�!�: i�owne�s_ �'iw�er is�Gey�irr a �w��d�iren�e�eer� aa■e�_��tudge i�eeps �ing a�af•i�_ flied��ler Ac�Ta�= ap�. ar�c;�� . � �s�P�:. ��.__ �.__ __...�.�_.. ..�.._.__...�______�_._______�______� �� _�___.________.____--____.__._ _ _----_ _____._______�...____.___--__ _ 1?.1a12t)12 6:�8 J#�i �� � � a�...e�.__�.�._.�_..____�v..__._�.....,..�..� � t � Request Number: 9695 Public Works Division Service Request Problem Address: 100 Sylvan Ln Requested By: Ronald Gaznet Department: WATER Address: No address provided Problem/Issue: INSTALL AMR METER Phone Number: 763-355-5076 Scheduled Date: 2p 15�l-22 �cheduled'ITime: 08:00:00 c�� 1 ` ACTIbN NEEDED:AMR Created by: Wendy Hiatt Date Created: 2015-01-20 ACTION TAI�N: ..................................................................................................................................................................................................................................................................................................................................................................................__.._...................._.... ........._�_1..-:.�....�......_(���-:�...........�..................1.._��......�..�.. _���...`.:.�.... .......................... .................._..........._.____................................._.__........:......._......................._ .............c��.,�.......�-�o�-��....�..................._...:._�.d..._.'�....:.�.'�.�.........�.......__....................:............................_..........__....___.............................:.........................._. _. _ ......._......... �� �����- �������� .........................................................................................................__................................................._...................................................................................._..........................._........._........................................................__................................._.._..___........_ �� �� ��c, � .......................................................................................................................... ................................................................................................................................................................................................................_........................_.._........__..._...._......._ c��� �sr5 � c � r ..................:................................................................................................................................................................................................................................................................................................._..........................................._........_._......__._................._....._ Status: In Progress Resident Contacted � Date Completed: Completed by: � "�`a' � S ` �� ��,�. , �.� 3 � L-k . . - City of Fridiey - _.... iNat�r Depa��nfi - , ,,. .. ., ...- _ 6431 University Avenue NE Fridiey,MN 55432 (763�57Z-3566 ��we hereby authorize the�ity of Fridley andjor it� employees to do what is necessary ta replace the water meter, I w�derstan�l t���e p��'�Y°W�r �s liahle fnr the water line from the main ta the premise and all interior plum6ing. (Per City code 402.Q6) 1 atso hold the City of Fridtey andjits employees harmless or any damages�nai may occur while doing this aperadon. This tu indude,6ut nat limited ta;++alv�►piping,walls,flours ar the wrb stop box and senrice line, 1 understand!am also reguired ta obtain a P+�rmtt Prior ta any work,if necessary. � flnaf ineter reading�otd meter} ` ��—J� ��� Name• Addr�s• ��� —�.J �-�� Pfione Number: te:_ �'��1?��___`__--� - 5ignature. 1Nftness Signatwe: �RIDL�Y CITY CODE CHAPTER 48L WATER,SfORM WATEFt,ANO�4NITARY 5EWER ADMINtSTRATION 1`�,, � (Ref�rd No 113,464,565,566,629,538,662,922,988,1144,1156,1191J 41)2.05.PERMIT FEE � Prior to constructing or repafr of any water or sewer line connecting the existing municipat system and atry house or 6uilding for which the application is made,the owner or contractor shatl be required to obtain a permft far such connectian,and shall pay a permit fee as hall be notified.t1C shali be unlawful to ca e any�an eeti g lineeunt�l an made,the Water and Sewer Department lnspectiun has been made and such connectinn and the work incidertt thereta has been approved by the C'�ty as a proper and suitable conn�ction. 402.dG.REPAIRS AND MAINTENANCE TQ COi�NECTiON ��p� --,.+�+:.+tio ��+p�«rvice curh staa bnx or the sewer lead at the prope►t' line or a water service or sewer lead has been extended to the property line for cannechon,the applicant,owner, or the occiipant or user of such premi�es shail be liable far all repair�required to arry water line and sewer lines ' necessary for connection of the premfses from the main to the premises. If the propg[ty owner requests maiatenance service or repairs be perfarmed by the City,the property qwner shall be�arged for the costs of the , maintenance andjor repairs� including any neces�ary street repairs,at a rate set annuatlyby.an adminlstraUve policy. lt shail be the responsi6ility of the applicant,owner,accupant or user ta pe�farm standar�maintenance af - the sewer service line from the premises to the main including debri�ciearing or root cutting and to malntain the � water service curb stop box for operability and at such height as will ensure that it remains abave the finished ,,,. . . : . .. • .. . .. . . . . . . � -- g�ad"e of tf�e�lar�d or-�rop�rty.�(Re►S�S,-��5,.t���:� _. _ .._ .._..