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Meter Swap A'� / ' Request Number: 13812 Public Works Division Service Request ProWem Address: 6584 Fridley St Requeated By: Pete L Departme�t: WATER Addresa: No address provided Probiem/Issne: INSTALL AMR ME1ER PLo�e N�mber: 571-2868 Scbedule e: 2017-03-09 Se�eduled Tl�: 01:00:00 � � m ACIION NEEDED: Created by: Wendy Hi�t D�e Creited: 2017-03-03 � * ACTION TAI�N: � � �.s��.�fe� c�--- .� � Stxtaa: In Progress Submitter A�s�eee � CoMuted Date Compieted: `3—�.►`� Completal by: � �� G� � ` .� ���-�72-���� 9��r� herePoy au�ho�ize ttae�C'r�r�#s�ridle and oe-6ts e�n i re 9ace the�rater�eter_ ��otierstaaed�sat�he ro e y / P�ees#o do+nv�at ds necess f" �° � g a'tY owne�3s�iable f���#�te�rater iie�e from�he Qnain to�ae premise and ail iarterio� � �laarra9sieag. {P�r�C"rty sos9e 4qD2.OG) �a8so�Smic!the�'st�,+sf F�adle�and�"afis Qrngslr�,,ees harmless#or anq�lamages tfeat rraa;/saccur�rrhite x1oQr: ��era�taon_ i'fsis�o�ncltacBe,�aut aaca�8ea�a9'steci to 4ralves,�a9p9sag.watis,f400rs�r tdae�urh sto�a&�ox arad senrdce fine_ Irn�easd�e�stand 9 am also �otataira a percni�g�r�ar to aeay rrnr�,�#�secessa�e � �� -- y`1s�� c� - c�l �nr��ner�€�aon�t��atct�,�e�l �-C��� � �� s`� -� 2�`� �} �a��: �'�-t� 1— �ra� l0 5 �� '�r`�� Phone�iumi�er � d � 1 �V� V p�_ 3 � � ` �� Signature Nt"stness Signaturs �--'— o�����_ l � �-I � ! `�' � ( o������� c� c� 3 0� �����-E�.�-����a� � �. ���.�- � ���� -1 i � n D �7� � � 1FRI�L�Y CiT�'CC)L)� CHi�1�ER 402.UlTA7'El�,STOl�EiIE WATE��1N�Sr�1YtTARY SEWER Al?N1lN!S6'R1#1'8 CDirt ����A L9 YRo�i3o�M•'1y.JV.Jy��g ViJ�67�p 57�����y 700y ii'�"('������1� . Q�Qz.S� ���{���.� . . Prior ta constructir�g or s�epair af arry water oF sewer lirae connecting i�se existing rnunicapat system and arry house or Inxitding for which ihe appticafiifln is s�nade,tJae vwner or r:or►tractor shaA be rec;uired to oirtain a�termit for such connection,ar�d s(�ali pay a permit�Fee as prrnridE Cha#ster 1�of this Code. After such connection has�reen macfe,tne Water and Sewer Departmerrt shall i�e notified. F�shail he unfaa�fui tn ar�y cons�ecting Gne urrti)an inspecttion�aas 6een anade and such connection and�e worAc inciderrt thereto has been approved by the C'd;y a pro�oer and suitab�e c.onnectiora. 40Z.Q6 liEP�lR�API�94iA1N7EN�iCE TO C�fitEC770N �ter che�nitial sonnect+on has been made to#he wafier senrice curb s�top hox or the seaver fead at t�se propereg�ifne as a rraiter senrice lead been�xfiended to�ise pro�erty line foc conreedaan,ti�e appficarrt,owner,or accu�ar�ar user of such premises sbatl be{iable fvr atl rep�irs required to arry water line end sewer tines necessary for connection of the premises from the main to the premises. tf the properly ormer requests mair�tenance ser+rice or repa�rs be perFormed hy the City,�tae proper�yy awner shait be charged for#ie�osts af the maim�narn�anr repairs,including ne+cessary s-treet repar'rs at a rate set annua�ty b�r an adrninistra#ive�olicy. tt sha!#be the res�o+zsbit'rt�/af the aP�ca� owner,occuparit+�r user fio perform stantiard maisrtenance of 1fie sevrer serertce tine from the premises to the main andudi�ctebris d,earitig roofi cu�tCing and�o mairstain tha water servir„e cur(�sCop ho�c for saperability and at such heigtrt as mn'll ensure that it remains a6oue the finisf� grade of the land or property, (Re+F 638,1156,1191)