Meter Swap .
� Request Number: 16937
Public Works Division ��✓ ���71C� ��
Service Request ��� �-���
Problem Address: 5580 E Bavazian Pass Requested By: Dastin
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Departmcnt: WA'IER Addresa: No address provided
Problem/Isaue: IlV5TALL AMR METER PLone Number: 651-274-5965
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Schedule�lh�te: 2017-09-12 Schedaled'Ilme: 09:00:00
ACTION NEEDED:
Created by: Wemiy Hiatt Date Cr�ated: 2017-09-08
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R�quest for Service Rap€�rt
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� City of F�i�iiey
Retercr�c�N�a: � � ', � `" � �C1� dat�:
ficque�t Type� ''rv�� `�--��"`DC-t—^ Entered By.
Deparkment: l��C��'� Citizen Nama �� � �� ��L��� � �"E
Add�esz= 5�� � ,�/`��� ��� Cail6ack P�one: �j�l� p��]�'� S��j�
Scheduted Date: � —�—\1 Pr�perly Owner.
Locakion Dekails: Rcquext[Detaifa: ��.T�'(� '��}1,)'� Q�. �"'
Action Taken:
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Approv�r. .
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City of Fric3ley
Water Department
6431 University Avenue NE
Fridley MN 55432
(763) 572-3561
Uwe hereby authorize the City of Fridley andlor its
employees to do what is necessary to shut off the wa#er at the curb stop box. I understaad
that the property owner is liable for the water line from the mai.n to the premise. (Per
City code 402.06) I also hold the City of Fridley and/or its employees harmiess for any
damages tliat may occur while doing this operation. This to include, but not limited to,
sod, yard, landscaping, trees, shrubs, driveways, sidewalks or the curb stop box and
service line. I understan I am also required to obtain a permit prior to any work.
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Name: iT��S�,�n /l(O�a � Adciress: SS�D �� ��u,� � �, �f 5
Phone Number: (j��I- Z 7 u � � 9�� Date: 7�$��(
Signature:
Witness Signature:
�'RIDLEY CITY Cfl3DE
C�3APTER 4a2.WATER,S�'ORM WATER?u�TD SAiVITARY S�WER
AD1ViIl�ISTRATION
(Ref Ord No 113,454,565,566, 629,638,662,922,988, 1144, 1156, 1191)
402.05. PE.RNIIT�E
Prior to constructing or repair of any water or sewer line connecting the existing municipal system and any
house or building for whic�the application is made,the owner or contractor shall be required to obtavi a
permit for such connection,and sha.11 pay a permit fee as provided in Chapter 11 of this Code. After such
connection has been made,the Water and Sewer Department shall be notified. It shatl be unlawful to cover
any connecting line until an inspection has been made and such connection and the work incident thereto
has been agproved by the City as a proper and stritable connection_
402.06. REPAIltS A��TD MAINTENANGE'T�CONNECTI�N
After the initial connection has been made to the water service curb stop box or the sewer lead at the
property line or a water service or sawer lead has been e;ctended to the property line for connection,the
applicant, owner, or the occupant or user of such premises shall be liable for a,ll repairs required to any
water line and any seRrer lines necessary for connection of the premises from the main to the premises. If
the property owner requests maintenance services or repairs be pezformed by the City,the property owner
shall be charged for the costs of the maintenance and/or repairs,inciudi.ng any necessary street repairs,at a
rate set annually by an administrative policy. It shall be the responsibility of the applicant, owner,occugant
or user tQ`perform standard maintenauce of the sewer service line fro.m the premises to the main including
debris clearing or root cutting and to maintain the water servic�curb stop box for operability and at such
height as will ensure that it remains above the finished�a.de of the land or property: (Ref fi38, 1156, 1191j