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Meter Swap ! ,� � Request Number: 13778 Public Works Division Service Request Problem Address: 6035 Gardena Ln Requested By: Roger Departmeut: WATER t�reaa: No addresa providcd Problem/Isaoe: INSTALL AMR METER Phone Number: 612-554-3010 Scheduled . 2017-03-03 5c6edaled Time: 10:00:00 � ���r'" �'c� ACIION 1VICEDED: Created by: Beth Konc�ick Dste Cre�ed: 201�-03-02 A(.."110A1 TA[�N: 1 � C �_�-�1� , Status: In Progtess �bmitter H�s Been �, � Ce�acted Dxte Com�eted: Completed by: � �� '�� � �s�-��z-�s�� ���,� a � a 4�(� �f oc� _ o�. i�ere6y authorize ttae�'r��of�ridley ared�oe-ats empdoyees#�do�v�at ds necess rego,�ce Lt�e�rater�raeter. i aae�dsrstancf ti�sa#�tae�nropea•ty flwnes�is�iak�)e far�.3ae�rater fiv��from�e snain 1b dtee�remise and�d1 adrterio� 1 '� �staaaxaisieag. (P�r�"ts y sode�.�Z�6) d adso�id Lfie�'fij�+f��isile�and/Sts em�ixm�ees hasrnless for aray�lamages'tfeat rtaay�ccur�rlaite sloir: n�erstiora. �'9ais�o�nclude,�aufi raca�Beaa9a�ted to walves,A�p9n�watis,�loors�s�se�aarb s#o�o box arad seavice fine_ Irn understar�d�am atso �� t�o8gt-dira a sfle�it�raar€:o aeay rrna�,i£�secessary. F5R1.4��{ETER F4EADR1IG�old metesj �� � �� �iame: � �� �-1�J Addres�s � Ptaone�tum6er _ ' �� � � � S"+gnature ���S�g��r� ,� �'`�l 6 D ' .� o�D ��-��� ,- o������� �Q���� ^ � � ������� ��4� �`�d9 � �1 . � � � � �����.���a . �,� .� FRIDLEY Ci�f CC3t�'E ��,'� aL � CE(A�'E(i 4UZ.YVAPE�Z,sr"!'06tSV!111fA7'E4$�141tD S�kA1iTARY SEWER � ADtI►11l�!!S6'RRk7'B C.D�t ���f CBrcd fito 113,�54,565,565,629,638,�f2,922,988,19A�3,IL6,1191j 402.5 PEF{1MfdT FEE Prior to constructing or repair of ar�y water of sewer Pitae connecting the existing rrrunia�I systern and arry house or 6uitdir�for�fiich the �pP��fln is snade,the s�wner or corstractor shatl be required to abtain a permifi for such conne+ction,and sF�alt pay a permit fee as proyidE Chapter 3.�af this Code. After such connection has been rnade,the Wa'teer and Sewer Department�a11�e no#i�fied. tt shaN(�e u�taarful tn arry connecting[ine urrti)an inspec3aan has been anade and such connedaon and the wos�inciderrt thereW has beere appra�+ed by i�re Crty a proper and sui�table conn�ion. �UZA6 #TEPA!!iS a4i�{D�itA1�ltTEi1(A9YCE TO CONiHEC1'fUlO( After i�e�nrtiat connectian has been made�o the water service a�rb stop boec or the searer��I at the propert�iine os a�rater senrice lead been ercfieiaded ta fihe property lir�e for conr�ection,t�e appfi�rrt,owner,or a+ccuparrt ar user of such premises shati be tiat�e fvr aA repairs required to arry water line and sewer lines necessary#or�connection of t�e�remises from tF�e main to the y�remrises. If t�te property ownes requests mairrtenance service ar repa�rs be perFormed by the C'ity,�ae�roperty aarner shaii he sharged for the costs crf the mair�tenance an� repairs,irach�di�ag necessary street repairs at a rate set annua�fy by an adnnin�ive policy. �t shat!be fiiae responsbit'rty of the appiicarre, owner,accu�Oarrt or user to perform s�andae�l maimenance of the sebver seruice I�ne from�fte premises to the cnain ittcludirig det�s dearir�g roat ccatt.ing and to mairrtair�the water service curb sCag box for operafaility and at su+ch�eight as uvill ensure Cfiat it remains above ttre fPnista grade of the�and or grvperty. (Re+F 638,115+6,1191a