Meter Swap Request Number: 13891
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Pubhc works Ihvision
Service Request
Problem Address: 1356 64th A� Requested By: Dawn Ferrell
Department: WATER Address: No ad�ess provided
Problem/Issue: 1NSTALL AMR METER Phone Nnmber: 612-483-8901
Schednled Dnte: 2017-03-13 Sc6ednled 1lme: 11:OU:�
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ACIION NEEDED:
Created by: Beth Kondrick Date Cre�ed: 2017-03-07 �
ACIION TAI�N:
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Stattffi: In Pro ss Snbmitter Ii�Beea r,
� Co�rt�cted
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Ds�te Completed: � Com�eted by:
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3r 13. �� �
9'�'9B9lL�a 61is�►C ".��4R.��
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9/�ae hee'ehy autho�-ize�#i�e�i�n#Fridley and�'oe-its employ�ees to do+uha#ss nesessaa
�egalece�he vva�er�neter. ��nclerstand t�at the�ro�aerty owner u liable for�3te�rrater line from the anain ho�ee premise and all iarterioa-
Pf���'�g. ��Q�'��1 sode��2.�6j �adso hold ti�e�'sty�f F�idley andJ"rrs em�misxyees harrr�less#or ar�y�damages�#aat sreay flccur whi(e sloirag
o�erstian_ g4�ais to ancfude,bu$no�iimite�t�o ualves,p9ping,watts,floors or tdae curb stogs k�ox ar�ct service lir�e_ Ir¢�nderstand 1 am aiso re
� y t�otataira a persnit prsor to anry rrn+�c,�F necessary.
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S'�gnature Wifiness Si�nateare
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cH�►i�R BOZ.YVA,-ER,STOR�W��'E4�AND S�NRARY SEWER
ADAr11Rt 6S'6'�iATtOilP
�1�ef Ord dNo 1130 4�4,�65,,65,6Z9,638,�62,922,988,11�,11Sfi,i191�
4Q2.5 PERMiT FEE
Frior to co�ructiag or�epair of ar�y wafier of sewer iine connecting the existing muniapai system arul any 4iouse or buldir�for which the
app(icafiion is made,tt�e ormer or corr�xactor shatl be required to obtain a permifi for such connection,and slaall pay a permit fee as provide�
Chapter 11 of#his Code. After such connection has been made,the MVater and Sewer Departmerrt shal!be aotified. it shall be untaarful to c+
aray connect.ing[ine urrti�an inspection has been made and such con�edaan and the woric inaderct thereto 6as 6een approved by the City as
proper and suitable connedaon.
40Z.06 REPAIRS lahiD�RA144t1'EAiANCE T�CflNNECTfON
After�Che inifiial connection has been made to the wateer senr�ce curb stop boec or fii�e seever lead at the property line�a rraker sertiice(ead(t
been exfiended to#!�e properly line for connectian,ttie appiicarrt,owner,or aecuparrt ar rxser a#such premises shaN be iiabte for a!I repairs
required to arr,r water t�ne and sewer lines necessan/#or connection of the premises from the main to the�remises. !f the property owner
requests matrrtenance service o�repairs 6e perFarrned by t�e�-�;yy�e�roperty owner shali be charged for the�of ihe meirrtenance and�
repairs,inctud�rag necessary street+�epairs at a rate set annuaity 1�an administrat�ve policy. it shaif he fihe sesponsi6lrty vf the appiicarrt,
owner,occuparrt or user to perform standard mairrtenance of the sewer senrice line from the premises�to the main andud�ng debrls dearing c
�-oofi cutting and to mairrtain the water sennce curb stop box for operab➢lity and afi such�eigtrt as will ensure that it remains a[�ove the finist�e
grade of the land or property_ �Re�f 638,1156,1191}