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Meter Swap Y Request Number: 13718 Public works Division Service Request Problem Address: 1460 Rice Creek Dt Requested By: Margazet Depart�ent: WATER Address: 1460 Rice Creek Dr Fridley,MN 55432 ProblemRasue: INSTALL AMR METER Phoac Number: 612-719-2526 Scheduled Date: 2017-04-07 Scbedeled T1me: 10:00:00 � ACIION NEEDED: Created by: Beth Kondrick Date Cre�ed: 201�-02-28 ACTION TA,i�N: "J � �i'1' � Status: In Progess ��tter Has Beon r Cont�ted Date Completed: �—�--�1� Completed by:��l(,�• �-5'9C9�L�,,fif96�t °.s�4�� 7�3-s�`3'2-3s��� ' ' 9/�ve {aerehy autho�ize ttae�� ;o#�risll � �egnlace�he wrater�raetec. �v�nderstand�at the ro e � e+f andJor its e�npioyees to slo�vl�at ds necessaa � f� �owner�s�ia�le frsa��tae�vater lie��from�he enain to�ee premise and ali interior �taarrxlsing. {9�er�C"rt+j�oa9e 4�2.�6� 3 ads�hoid the�'rty+�F�idley and/"rts�m�lrr�ees harmless#or any�amages'tFeat rnar{�ccur irrhtte siaic�g apee�tfon. T4�is�o"snclude,ia�r�noit lasa�st�,d to vralves,plpin�wat(s,floors�s�e sasrta sto�&aox aead servdce lia�e_ In�sssderstand 1 am also r� to o�taira a perrnrt g�r�o,r to aruy�eror�,if�ecessar�e ���., !�� � �C� ��� '[ U �4Rt9�1f.�ifETER FtEADIRiG(c�ld mefier� �V✓ �� �� ✓��j #iame:�, � G`�-' � Address_ ��l�G�/ 1�-\�[ �l ���i Phone 1Yumf�- �X, ��' L� � — a5�p� L� — �-- �,� Signatun� Mtt'tness Signature �� �����— ���� ��� OLD READt�Vif� �/��✓�� � i11EiA�MECER# � 1� � � 1 �� ��r--��- � ���.�___ �����a� � J� . ��,o��„����� Ct-ii�B�ER 402.YbfATER,S�'ORlIP!il1tA,�l�AND S�9YITARY SEWER ADN1i4t19S�'RATIf�1N ��tef Orc�6Hc�113,a�4p 565,,65,629,63�,�Z,922,9E8p 1144,1155,1191' 402.5 PERMd"1"FEE Prior to constructing vr repair af any water of sewer 9iaae connecting the existir�g rnunici�at systecn and ar�y ho�use or bui[dirrg for which#he apptica�avn is made,the cnvner or cor�firactnr sfialJ be required to obtain a�eermit for such connection,and shall pay a�ermit fee as providec Chapter 3.2 of�thu Code. After such connection has been made,the Water and Sewer Departmerrt shall be notified, tt sfia{I�un(aurfui#a�, ar�y�ossnect9ng dine urrtii ap;n$pection has been anade and such connection and tfie rvor�c inciderrt thereto has been approved(ry gbe Crty as �roper and su�a6te conn,ection. �02.06 92EPAiRS�1P1D�itt�lf�tTEtYANCE TO CONNECt704o[� After the initiat connection has besn mads�o�the waa�teer service curb stop box vr�setixer fead at fhe property 1Pne�r a rrater servic�e lead h been exfiended to fihe properry line for connec#ian,the appiic�arrt,ovrner,or a+ccuparrt or a�ser of such premises shait be liabte for ati repairs required to any water dine and sewer lirtes necessary fvr�connection of the premises from Lhe main to the premises. tf the propen,y oxmer �eyuests ma�rr�enance service o�repairs be perFormed 6y tfte+C'ity,the properiy owner shal!be charged for�he�sts of the mairrtenance and repairs,inciud�rag necessary street s�epairs at a rate set annuai(y by an administrative policy. tt s6att be the resp+ons�itit�r af the appl'icarrt, owner,occu�rant or user to perform standard mairttenance aF ifie sewer service I�ne from fifte premises to the.rnain as�du�rig debris de�aring c root cu�tting and to mairrtain#he water service curt�sfiop box for operability and at such height as wili ensure that�t rem�r boye the finishe grade aF the�and or�roperty. �Ref 638,1156.1�.91j +: Request Number: 7490 Public Works Division Service Request Problem ARidress: 1460 Rice CreeK Dr Requested By: Margaret Department: WATER Address: No address provided Problemllssue: FROZEN WATER SERVICE Phone Number: 612-719-2526 Scheduled Date: 2014-02-10 � Scheduled Time: 04:00:00 ACTION NEEDED: Frozen water service Created by: Wendy Hiatt Date Created: 201402-11 ACTION TAKEN: �� �5 ,�� ��-� i.c I.����L��R� �. t`n�......._N� o�- ��`�'� �r � � ;�..................................................................................................................................................................................................................................... .......... ..............................._. ... . ..........................................................__._............... _......_._........................................................................................................................................._......................................................................................................................................._ ._._..................__....._.................._..._.........._.........__..._............. .._......�r............d......�:-.......-�-�e.:...r....._.....N......�'... ..a...�........�...-:�.-................�,.tf�..C.:.:.........��...............�..�....:_:.........:.... ... ..... ................ .........................................__..............._ � , ..................................................................................................:.................................................................._......................................_............................................................_.........._...................__....._..........................................................:......_............._..._............ ............................................................................_................................_............................................._...........................................:.............................................................................................._..............._..._............................................................................_............ ..........................................................:......................._.......:_........._......_______........................_..................................................................................................................................__.............._....._.....................................__............................_............._ Status: In Progress Resident Contacted ❑ Date Completed: Completed by: Hours i �a�����