Meter Swap �
r Request Number: 13748
rublic works nivision
Service Request
Problem Address: 6500 Fridley St Requested By: Sammy
Department: WA1ER Address: No a�ress provided
Problem/Issne: INSTALL AMR METER Phone Number: �63-670-4191
ScheduledD�te:--- 2017-03-07 Schednledlime: 11:00:00
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ACTION NEEDED:
Created by: Beth Ko�hick DAte Crexted: 2017-03-01
ACTI N TAI�N• �
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Stat�• In Progress Sabmitter H�Been r,
Coirtacted
Date Completed: Completed by:
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BJ�rv� her�hy authorize tFse�tii�vf�ridle�q and/oc its empioyees#o do v��sa�6s�necessaa
M�ego9�ce tt�e aerater me'ter. �a�nderstand 3��t�he�ro{ae�owner�s�ia�le fo��lae�vafier 6irt�from ghe main to�tee premise and all interioe-
�f�1����"g. ����'��'!�Od���Z.06) 3 adso�aoic!tF�e C'rt�/crF Fridle�andits em�l�qees harmless for arry slamages that snay ou:vr w(aile sloirtg
'� a�see�r.aon. T4ais Yo inclucle,bur��a�liaa9�teet t4 uaives, 3 i
P P�,�atls,f4saocs os ti�ee eesria sto�kt�ox and see�vdce li�e_ Ira�nderstand�am also a�
t�o8ataira a perrnit gaesa�r to any wvr�,sf�ecessaee'.
F9RiAC�t1ETER itEADINC:�aki mefiear) ��� ���
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Signaix�se —. Ntitn�s Signature
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�I-�A���'ER BOZ.Y6faT�R,S7Of�1V!W�,�'��ANID SANtTARY SEINER
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Prior to constructing ar�epair of any water aF sewer line connecting the existing muniapaJ system and arry fi�use or 6utldirig fo�which the
app(ica�tiion is made,the owner or corrtractor shatt iae required to obtain a permiL fpr suc(7 connecdon,and sFeall pay a permii#ee as providec
Chapter 1�rnF th�s Code. After such connection has been made,the Water and Sewer Departrnent sha11 be notified. tt shaq be untaarful to a
ar�y connecCing(ine urrtil an inspecsaon has been anade and such conaedaon and�e s�ros�inciderrt thereto fias t�een approved by�Pte City as
proper and surtable connectiora.
402.06 4tEPAttt�A4�iD�Al9hITENFINCE TO COAN+iECTtt?iu'
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After the in'rCia!connection has been made to the water service curb sfiop box or ti�e sewer tead at the propert�y iir�e or a irater seryice lead 6
beera exfieraded to the property line#or connection,tt�e appiiprrt,ouvner,or uccvpacrt o�a�ser of suth premises shaii be iiaWe forati re�irs
required to any water dine and sewer lines necessary far connection of the prem�ses from#he main to the premise.s. if the pnoperty oro,ner
request�mairrtenance service or repairs 6e perFormed by the C'rty,the�roperCy orvrrer shaH be charged for the costs of the maic�Ce�ar�ce and;
repairs,inctuderag necessary street repa�r��a rate set annually by an adminiskrative policy. tt sfiaif be fiiae responsi6it�ty o�f ffie appiicarrt,
°'+vnet,oscupa+rt or usec to perfocrr+standard mairnteriance vf the sewer service ISne frorr�i�e premises to the main indudir�g delxis dearing c
root cuttang and to maintain#he water servic;e curb sto�bvx for operability and at such�eight as wiii ensure#i�at�t remairts above the finishe
�rade aF the land or property_ �Ref 638,1156,1191)