Meter Swap ` Request Number: 13575
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Public Works Division
Service Request
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,�; Problem Address: 1321 Hillcrest Dr Requested By: Leona H�son
Dep:�rtment: WA1ER Addrea:: No adc�ess provided
Problem/Issue: 1NSTALL AMR METER Phoae Number: 763-371-4657
' Schedelsd Date: 2017-OZ-23 Schedn�ei Tie�e: 07:34:00
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� �r Created iry: VVv�ly I�att D�Created: 2017-02-21
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AC7T4l�I TA�iEN: .
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Stat�; In�'I'oS�es$ Cautncted r
Date Com�eted: a,- a.�, '— �� Completed by:
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� '/�°� hereby authorize the�ty o#F�idley andJor its ernpioyees to a10 whafi is ner,essary t
r re�lece the water rneter. 1 c�nderstand ti»a#ihe property owner is iiable for the arater line from the main to the premise and all irrterior
pturrebing. (Per C"rty coale 402.06� �atso ttotd the C'rt��f�r7dley and/'rts employees harmtess for eriy damages tttat may occur while doing thi
operation. This to�nclude,but r�ot 9imi#ed to valves,piping,waits,floors or the curb stop�ox and service line_ In understand!am also requ
to obtaira a permit pr�or to any�ror�c,�f necessary.
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FIt�tAt 11AETER READHUG(otd mefierj � �� ��/�
Name: ��Q��. �-l G�1/�SU►�. Address '� J O'� � ���l �`��- �.
Phone Number �(�3 '- ✓ ` � - �l,/5� Date �� °��^ ��
Signateare �'
Witness Signature
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FRIDLEY CITY CODE
CHAPT'ER 402.WATER,STORN!WATER AND SANITARY SEWER
ADMIAI1ST�tATdON
(Ref Ord No 213,Q�,565,�66,629,638,662,922,988,1144,1156,1191)
402.5 AERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the exisfing municipat system and arry house or buitdir�for which the
appi'scaCion is made,the owner or cor�traactor shall be required to ohtain a permit for such connection,and s(aaU pay a permit fee as provided ii
Chatrter 11 of this Code. After such connection has been�nade,the Water and Sewer Departmerrt shall be notified. It shail be untaarful to cov
any connecting tine urrtil an inspection has 6een made and such connection and the urork inaderrt thereto has been approved by the City as a
proper and suitable connection.
402.06 REPAIliS p�yD l�IltAqfyy-fE1VANCE TO CONIYECTfON
After the fnifiia!connectivn has been made to the water senrice curb stop box or the searer lead at fihe property line or a water�nrice Iead iws
been extended to the property line for connectian,the applicarrt,ownes,or accuparst ar user of such premises shalt be('�aMe for ap repaPrs
repuired to any water line and sewer lines necessary#or connection of the premises from the main to the premises. tf the property owner
requests mairrtenance service or repairs be performed by the City,the property ows�er shali be sfiarged for the costs af the mairneriance and/o
repairs,ircluding necessary street�epairs at a rate set annually by an administrative poPry, tt sfia11 be the responsibility of the applicarrE,
owner,occuparrt or user to perform standard mairrtenance af the sewer service line from the p�emises to the main tnclutiiag debris clearing or
root cufiting and to mairrtain the water service curb stop box for operability and at such height as wiil ensure that it remains above the finished
grade af the land or property. (Ref 638,1156,1191)
Req uest N u m ber: 7535
Public Works Division
Service Request
Problem Address: 1321 HiNcrest Dr Requested By: Leona Hanson
Department: WATER �kldress: No address provided
Problemllssue: Phone Number: 763-571-4657
Scheduled Date: 2014-02-19 Scheduled Time:
ACTION NEEDED: Frozen Water Service
Created by: Wendy Hiatt Date Created: 201402-19
ACTlON TAKEN:
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Status: In Progress Resident Contacted ❑
Date Completed: Completed by:
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