Meter Swap Request Number: 13332
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+ Public works Division
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Service Request
Problem Addresa: 970 Hathaway Ln Requested By: Michsiel
Departme�t: WA'IER Addrase: 970 Hathaway Ln
Fridiey,l�il�T 55432
Problero/Iss�: INSTALL AMR METER Pitone Number: 763-574-7536
Scheduled Date: 201'I-02-17 Sc6edale�11me: 01:(b:00
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ACIION NEEDED:
Crexte�by: Bcth Kondrick Date Creata�: 2017-02-07
ACIION TAKEN: �
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Statva: In Progi�ss Submitter H�s�eea �..
Coutscted
Date Completedc 1, ��_. ��] Completed by: ��(, �
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�rri/ate�-�p�r�e�e��� �� � � � �
643�i9taiversit�Avenaae 9Y� "'�
F�iddey,MP! 55432
�s3-572-3556 � �� _ �-�� / ( t (,� -� �
,j'"o� hereby authorize the�ity o#�rK(ley andJor its empioyees to clo what is necessary ta
r�lace#he wafier rnetec. 1 vnderstand tt�at the propea-ty owner 4s liable for the+xater line#rom the main to the premise and all irrterior
pturrebing• (Per City code 402Abj i also�told the,C'ity�of�ridtey andfrts empioyees harmless#or any slamages t{�at may occur while doing this
� operation. This to anslude,but not ISm�ted 3o walves,piping,uralls,#looPs or the curb stop box and senrice line. In understand i am also requi�
to obtain a perm'rt prio�r to any�rar3c,�f r►ecessary.
FIS'iiAL 1k1EfER READING(old meterj 6 � ���
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5ignature Wi�ness S�nature
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FRIDtEY CITY CODE
CNAPT�R 402.WATER,STORM WATER AND SAN{TARY SEWER
ADMltuiS'TRAT{ON
(Ref Ord No 113,464,565,5�6,629,638,662,922,988,1144,1156,1191)
4U2.5 PER1b11T FEE
Prior to constructing or repair of any water of sewer line connecting the ex�isting muniapa(system and arry house or buiidin�for whicd�the
appiication is made,the owner or cor�trazctor shati he requ'sred to obtain a permit for such connection,and shall pay a permit fee as provided in
Chapter 11 of this Code. After such connection has been made,the tA/ater and Sewer Departmerre shall be rtotitiec[, tt shal!be untavrfui to covE
any connecting[ine ur�tiil an ir�spection has been made and such connection and the wor�c inademt thereto has beere approved by the C"ity as a
proper and suitable connectivn.
402.06 REPAIRS AR(D 91rtA1N1'ENANCE TO COMNECTION
After the initial connecdort has been made to the water service curb stop boK or the sewer lead at the property iine or a water senrice(ead itas
been extended#o the property I�ne for connection,the appiicaM,owner,or ascupar�t or a�ser of such prernises sfiatt be 1Fat�e for all repairs
require+d#o any water line and sewer iioes necessary for connection of the premises from the main to the premises. ff the property owner
requesfis mairrtenance serxice or repairs be}aerFarmed by tEtie CFty,the property owner shall be charged for the costs af the mairrtenar�e and/a
repairs,inctuding necessary street repairs at a rate set annualEy by an administra#ive policy. R shail6e the responsibitity o##he applicarrt,
owner,ocEupant or user to perform standard mairrtenance of the sewer service line from the premises to the main iaciuding deluis dearing ar
root cutting and to maic+tain the water service curb stop box fo�operability and at such height as wili ensure thaC it remains above the finished
grade of xhe land or property. {Ref 638,1156,1191j