Meter Swap . Request Number: 13744
Public Works Division
Service Request
Problem Address: 5736 Matterhorn Dr Requeated By: Russ
Departmeut: WA'IER Address: 5736 Mattcrhorn br
Fridley,MN 55432
Problcm/Isane: INSTALL AMR METER PLone Number: 612-325-1388
Sc6eduled D�te: 2017-03-25 Sc6eduled Time: 01:00:00
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, ACTION 1VEEDED:
`" Creatad by: Beth Kondrick Date CYeated: 2017-03-01
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ACTION TAKEN:
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Stxtus: In Progress Snbmitter A�Been �,
Co�scted
Date Completed: �r.�[,� I� Completed by:��(`�
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9��r� i�er'�hy authorize t#ae�itiv vf�sFdley ared or its em �
� p�ees#o sYo�r�at ds�ecessas
_ �egalace t4�se vea�er�neter. 1,ue�c9QrsskancH�a��hp pro�erty vwner u�iaf�le f�r�#�oe�vater lie�e$rom the anais�to�e premise and all izrterior
• �stuarads�rag- (�er�C'sty cosle 4�Z.06� e ads��aoid the�"rty+rf Fridie�andits�m�iuyees hasmtess for any�amages tF"at reaay occur white�loirag
a�aee�tion. �'9ais�o�nclude,4au$nrnt 1ian�ed io valves,pfping,walls,f4�ors�s't�ee�curh sto�k�ox arad senrice line. 9ra und�rstand�am a�so re
t�a8ataira a pea�mi��er'soa�o any�eror9c,sF necessaraf.
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��tE�R�au�c go�t metea�p _ 5 " 1,�p� (J �J � �' !���
+Name: 1'�-J 5 Adclress t� /✓1p �.�,"s-7G r�.0 rYl ,�J�'
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5ignature Nti,tness Segnature '�—
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' 1FRIDLEY CI'�f CaDE
CE1,0►i�'i'EE�QOZ.WATElt,S'�'ORN!WA,�'E4�AND SANCtARY SEYVER
' ADN11f�1tSTRAT9C2flF
��i�Ors{�io 113,�G4y 565,566,629,635,�62,92Z,9$8,13.44,1155,�.9Zj
', 4025 PERMdT FEE
', Prior to constructipg or repair af any water aF sewer 9i+ae connectir�g the e�c[sting snunicipai systern and ar�y house or 6uiidir�for which the
appllcatifln is made,the oarner or corrtra+ctor shatl be required to o(rtain a pQrmifi for such coRnection,and shall pay a permit#ee as providec
Chapter 3.a of this Code. After such corrnection�as beea made,tFte MVater ared Sewer Departmert shaQ be notafed. tt shaii be un(aarful#o c�
aray connecting 6ine urrtii an inspection has been anade and such connection and the wor€c inciderrt thereto has f�een approved by the C'd,y as
proper and suitab{e sonnectiora.
� �02.06 �tEPA1RS AiOtD�tAIiVTEfIlAP10E TO COPINECI'iON
' A�er the initiat connection has been made to the water service curb stop brnc or t�e seaaer lead at fi(te property iine or a water sennce lead 6
been exfiended to�ttze property line#or connection,tt�e app�carrt,owner,Qr occuparnt or aaser of such premises shap be tiable for atl repairs
required�ta any a�er line and sewer lir�es necessary for conr�eckion of the premises from the main to fihe�remises. if the property rnrner
sequesfis mairrtenance service ar repairs be perFos�med by the City,ttae property owner shail be charged for#he�af the mairrbenance and;
repairs,inctud�rag necessary street repairs afi a rate set annualty b�an administra�iwe policy. Ft shal!be fi.�ae sespons�itity o#the applicari#,
owner,occuparrt or user to perform stantiard mairntes�as�ce of the sewer service line from fihe premises to the main ar�ciudi�debris dearing c
roat��riting and to mairrtain the water serv;ce curb stnp box for operability and at such height as will ensure fihat it remair�s above the ftnishe
grade oFthe land or property. {Ref 638,1156,1191j