Meter Swap Request Number: 13600
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Service Request
Problem Addresa: 5680 Matterhom Dr Requested By: 'Iheo�re Brown
Department: WATER Address: No address provided
Problem/Iasue: INSTALL AMR METER Phoae Number: 651-253-4343
Sc�ednled 2017-03-03 � Sc6ednled 11me: 09:OU:OU
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AC"fION NEED�:D:
Created by: Wendy Hiatt Date Cres�ted: 2017-OZ-22
ACTION TAI�N:
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StAtus: In Progress Submitter I�Beea r
Caatacted
Date Completed: �� 3 --�,� Complettd by: � �� .
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Frid9ey,11166�f 5�432
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,/°A°� her�by authorize�lae�"ifiyo af Fridley andjsx its employees#o do what is necessary 4
regalace the wafier rneter. 1 vnderstand tha#the properky owner 6s iiabte for the ara#er line frrom#he main to the premise and all iriterior
�leirtabing. (Per tity code 402.06j i also hold ihe C'rty of�ridley and/'rts em�sloyees harmless for any slamages thafi may occur rrfaile doing thi
� operation. This#0 4nctude,but nat lim'rted to valves,piping,wal(s,floors or the curb stop bux and service line. In undersiand!am also a�eyu
t�obtain a permi�pr'sor to any�ror�c,�f necessary.
EiAtAL 11NEi'ER READIpiG(ald mefier]_ �� � � L �
Name: ��°O�U(�p � Address __ 7 `�(Jd �r�
Phone Number tDS�` ��3 ^ _`3��Date ����� L
Signatare Witness Signature �^
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�RtDtEY CiTY CODE
CHAPTER 40Z.WATER,STORM WA�'ER AlYD SANITARY SEWER
ADMlT�ISTR�hT10N
�Ref Ors!llio 113,464'S65�566'6Z9j 638�662�922�988'1144�I155�1191)
402.5 AERMtT FEE
Prior to constructing or repair af any water of sewer tine connecting the erasting rnunicipat sqstem and arry hause or buitding for which the
application is made,the owner or corntractor sha((be required in olrtain a permit far such connection,and si�all pay a permit fee as provided ii
Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmerrt shal!be notified. I#shatl be untawful to cov
arry connecCing line uritil an inspection has been made and such connection and the wor6c inciderrt thereto has beert approved by the C'rty as a
proper and swi�table connection.
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402.05 REPAIRS A1�{D 9NA1{VI'I'EAIq(dCE TO COMNECTION
After the initia(coRnection has been made to the water senrice curb sto boec or the sewer fead at fihe ro ��
p p perty iine or a wali�service lead has
been extended#o the property line for connection,the appiicarrt,owner,or accuparrt or user of such premises shal!be iiabie for a}F repatrs
required to any water iine and sewer lines necessary for connection of the premises from the main to the premises. if ifie properly owner
requesls mairrtenance senrice or repairs be perFormed by the City,ihe property owner sF�all be charged for#he costs cF#he rnaintenance and/o
repairs,inciuding necessary street repairs at a r�te set annuaify by an administrative pol➢cy, tt shatf he the fesponsihility o#the applicarrt,
owner,occuparrt or user to perform standard maintenance af the sewer service line from the premises to the main�nctuding debris dearing or
root cutting and to ma�rrtain the water service curb stop box for operability and at such heigtrt as wiU ensure tha#it remair�s above the flnished
grade of the land or property. �Ref 638,1156,1191)
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