Meter Swap �
f Request Number: 13874
Public works Division
Service Request
Problem Address: 1332 Hillcrest Dr Requested By: Michsel
Depsrtmaot: WA1ER Ad�dresa: 1332 Hillcreat Dr
Fridley,MN 55432
ProMeadlssue: IN�TALL AMR METER l�hane Number: 763-571-5924
Sc�ed�ed 1�: 2017-03-14 Sededde�Tl�ee: �B:OO:OU
U.�s `Y1�-✓ I`f�
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Crented�y: Bef1i I�ont�rick Dat�Cre�ed: 2017-03-07
ACTION TA�Ns
1 ��-�a.�� �� �
Stat�: Ia Progress Submittar Hu Hesa �
CautActed
Date Compt�tsd: Cempleted by:
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Hj�r� her�by autho�ize tiae�'rfi�,uf�ridleip anc!/or its etnptoyees to sto w�at is necessa�
„ reg�lace ihe mrater rnetear. �aanclec�stand td�at giae�ro�aes�ty owner u liahle frs�tl�oe�rafier lie��from the anain to ttae premise and ali earterioa-
ptaarrabing. {��g�C"rty soafe�2.�6� 8 aaso�aoid ehe�Ftt�+sf��6dle�andJ"rCs em�im,je�s hae�mless�4or arry�lamages that rraay�ccur�hiie slaing
l opee�tfon_ �ais to�nePude,�Sa$�aa�diaa��e�!io valves, 3 �n waiis,�oors�r�Se saarBa sta�box aead sesvice�is�e. tn�anderstand�am atso a�
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tr�Qtataira a permi��asaar to aa7y�rnr�if se2cessarye
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Signatune l Ntiiness Si�nature
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CHs�►8�'ER dA2.iAtATFi�,STORN!NfA�4�AND S�NRARY SEWER
ADMiR165TfiA�7'[�[ii
�t?�f Ord�to 113,�64,565,566,629,638y�62,922,988,i14ai,i15f,1I91�
4Q2.5 PERi41!'�'FEE
Prsor to construcCing or s epair of arry water of se�nrer tine connecting the existing rrr�nicipaT sysrtem and arry house oc�uitdin�for which the
application is rnade,ttze owner or cvrrtractor shall be required ta otrtain a perm'st for such c�nnedion,and shali pay a permit fee as providec
Chapter 9.�.of this Code. After suc�coRnection has�een rnade,the YI/ater and Sewer Departnae�tt shali be rsotified. tt sfiail be untawful to c�
ar�y connecting tine urrtil an in,pection�ras been made and such connection and the wor9c in+ciderrt thereto has been appraved by#4se Cit�j as
proper and suitable sonnectiora.
40Z.06 dtEPA1Rs s4iHi3�1[AIiVTfNA9UCE Ta CO1MRiEC770R1
Af'ter�Chhe tnitial connection has been made to#he water service curb sta p f�ox er the semrer lead at the propert�r�irte ar a water sesvice�ead fi
foeen eartended to�thhe p�o�erty�sne for connection,ihe appiicarrt,owner,or accuparat�s aser of such premises siraif be fwble for a11 re�aairs
required to any water line and sewer tines necessary#or connecCion of the premises from#he main to the premises. If the psoperty oMmer
requests mairrtenance service or repairs be performed by the C-�ty,the pr�periy enr�ner shall be cfiarged for#he�osts af ihe mairrtenance and
repairs,inciudirag ne,cessay�y�.eet repa�rs at a rate set annuaity by an adrninistra�Cive�aoticy. tt shat!be i3�e sesponssbit�ty vf the appGcarrt,
owner,occu�sar+t or user to perform standard mairrkenance of ifie sewer service line from the premises to the main andudir�g deb�is dearing t
rvofi��ing and�o mai+rtain the water seruice curb seop bou for operabslity and at such heigfrt as wiil ensure Chat#t remains above tEre finishe
grade uf the land or property. �Ref 638,1156,1191)