Meter Swap � '` Request Number: 13609
Public Works Division
Service Req�est
Problem Address: 980 Hathaway Ln Requested By: Pang Yang
Departmeet: WATER ��es8. 980 H�haw+ay Ia►
Fridlay,MN 55432
Problem/Isaue: INS'1"AL,L AMR MEIEtt Pboie Nnmber: 6S 1-900-0343
Schednl d . 2017-03-01 SeLednled 1ime: 11:00:00
ST 1
AGIION NEEU�t
Created by: Het�Kondrick 1Hte Created: 2017-02-23
ACTION T
...�._
Statns: In Progress Snbmittar Has Beeo r,
Coutacted
'Dxte Comaeted: Compteted by:
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xr^t.a.u.sraenva.n9�crf�a�V�f9@Ae 9V�
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i''�'� her�foy authorize the�ty uf�rc�idley andjor dts emptoyees#o s!o whaC ds necessary
�`' �e�lace the mvater�raetee�. 1 vnclgrstand fi�at�he ro e
f p fs rty owner�s{iable for the water line fram�he enain fio st�se pcemiss and a11 itrterior
. plun"+9Sieag. (P�es��"�ty coa9e 4�2.06� 3 aaso hold xhe C'rt��Fsidley andJ'rts employees harmless foe�r��lamages tEaat rreay occuc yu�aile sloing t
a��oeration. Tfa9s�0 9nelude,b+.rfi nott 9iansted�o valves,pipin�watls,floors�r tdte curb stop box and senrcce lir�e. in�nderstand t am sec
to obtaira a permit�essos to any worbc,if necessare�. �
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iF9lAi��r1ETER READ�G(otct mefiesj � �� �y�i� �
1Yame: Address 1� �
Plaone�lumber `'� � 3 D�� `' ��
Signature�__�'
W'rtness Signature
�ILD METfR#���1 ���
OtD READtiYG i —��✓� ���
NEiN METER# ��� � �+�✓ L �
t�EU �
ERT'# � ' �� � y � $ .
FRSDLEY�17�f CODE
CE9At�'ER�02.WA1'ER,STORM WA,�'ER AND SANITAliY SEWER
ADMIfYlS'�'RA'CION
�6ief CDrd 91tv 113a 464,�65,�66,629,fi38,662,92Z,988,i1�#,I156,I191�
402.5 PERMtT FEE
Prior to constructing or repair of any water of sewer iine connecting the eKisting muniapaf system end arry house os 5u7ding for which the
appllcation is made,the vwner or corrtractur sfialf be required to obtain a permit for such connection,and shali pay a permi#fee as provided
Chapter 11 of this Code. After such connection i�as�een made,�e Water and Sewer Department shali be notified. Fi sha(1 be un(aarfui to cn
any con�ecting tine unti!an inspectian has been made and such connection and th�work inaderrt fihereto has been approwed by t�ce Ctty as�
�roper and suitab{e connQctian.
4�ZA6 REPAiRS AWD ARAfrtTENARICE TO CORINECTiON
AAFttev the iniC�a!connecfivn has been made to#he water service curb stop bo�c or the sewer lead at the propecty iine os a rrater service Iead h�
been extended to fif�e property line for connectian,tfie applicarrt,owner,or uccuparrt or user of such�remises s(�ali be liaf�ie for aH r+�Rairs
�equire+d to arry wa#er tine and sewer lines necessary for connection of the prem�ses from the main to t�e premises. if the property rnmer
requests mairrtenance service or repairs 6e perForrned by the C"ity,f�ae property owrter shatl be charged for the costs af Lhe mairrtenance and/
repairs,inciuding necessary y-treet�epairs at a rate set annualty by an administrative pvlicy. tt sfialt be the sespor�sb;frtyr pf the appficarr�,
owner,occuparrt or user to perform standard mainten�noe of fihe sewer service(ine frorn the prernis�s to fihe snain incfutl'ing debris deari�rn
root cutting and to mairrtain#he water service curb stop box for�perabil'rty and at such height as wiil ensure that it remairu above the finishe�
grade af the fand or property. �Ref 638,1156,1191)