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Meter Swap ° Request Number: 13731 Public Works Division Service Request Problem Addresa: 6100 Stinson Blvd Requested By: Mark Schirn�acher Departmeet: WA1ER Addreaa: No address provided ProMem/Iss�: INSTALL AMR METER Phone Number: 763-218-1154 Scheduled Date: 2017-03-06 � Sc6ednlod'Iime: 08:30:00 / :�� AC'lION NEEDED: Created by: Beth Ko�ick Date Created: 201?-03-01 ACTION TAKEN: Y� �' � � Status: In Progress Submit#er Aas Been r, Co�acted Date Compieted: Completed by: �jr �- (`� � �0� � 9-�'9ff8BL�, bV�4�i °.a�4�2 ���-���-���� a a�-`(�aa�o ��y ��`"°� hee�toy authori2e t�ae�ifiy o#Fa�idle�aredfoe�its empioqees#o do wfiat ds necessaa �egalace�se water rraeter. ;¢anderstand t�sat ghe pro�ae�ty owner u�iable fm��he�vater lin�from�he anain to�F�e premise and all irrterioa- . �lud'"'a�s;ng. {6�Qr�"�t11�ode�2.�6� 3 alsca�aais8 the�'rty�Fridley andits em�lsxyees harmless for any�lamages Yfeat rraay�ccur 3rrlaile�laing o�er,atlan_ �'his to�nctude,6w��a�9isna�te�l��vadves,�fp�n$,waifs,fl�va�s or�ae curb sto�s d�ox ared senrice li�e_ In�ndersiand i am also a+� to otataira a peeanrt�ar'sor to arry wor�C,if�ecessarafe �lT�IA��[ETER EtEADif�IG�o6tf inefier) � �� O�� 1�iame: 1' ""` —_�����p Address �1� ���t5�t�, S�V C1 Phone lYumber��-�Z� D'�" �r�� Da� �^ �� � ! S"tgnafiure �� dVttness Signa#ure o����$g� �� ��_�� � ot����tN� �4 �u� ��I C� b ,� � � �����R� '� ��l� � � �y �" � 0 ���-#_� 1 � � OD 5 � � F3i1DLEY�1�f�f.�DE �FtA�'�R�02.1NA7�ER,St'ORM WA�,�'E4�P�l1Vi�S�kNITAAf�I�SEWER AD'�A19►i6S�'RATION �iief Ord�lte 113,4�4,�65,,66,629,635,�5x,92Z,988,13�4,115�,5191� - 402.5 PER4df97'FEE Prior to construcCing or a-epair aF any water of sewer iine conaecting fihe eKisting municipal system and arry nouse or buiidireg for w6ich the eppl➢catifln is made,the rnvner or corrtractvr shatl be required to obfiain a permit for such connection,and s(�ali pay a permit fee as providec Chapter 1a of�his Code. After suci�connection has been made,the Mllater and Sewer Departmerrt shaii i�e noixEied. tC shai{be un(aarfvl to c� any connecting Iine until an inspectian has been anade and�uch connection and#he war�c inadeat thereto has been approved by the Crty as proper and suitabte connedtior�. 402.05 �{EPAIRS ARtD�tAtRtTE1YANCE TO CONNEC770N After the initiat connectiort has been made�o the water senrice suri�stop box or tFie sewer lead at t�te pmperty itne ar a water service iead h been exfiended to i�se pro�erty�ine for connectian,tiie a�aphr.arrt,ow�er,or�ccuparrt or a�sec af such premises s(ia(1 be 1Yable for a)I repa�rs requirest to any water l�ne and sewer lines necessary for�connection of the premises from#he ma(n to the premises. if ttve properfy owne� a�equests ma�rrtenance service or re�rairs be perFarmed try the City,t,�e property own�r shati be charged for the�of the ma��nance and; repairs,inctudirag ne,cessary street repairs at a+�ate set annua�ty bx an adminis�trative pol�cy. tt sha(i be t�e sesponsibiC�ty o#the a�plicarrt, owner,occupant+or user to perform s�andard mairrtenance of the sewer ses�vice fine from�se premises to the nnain aodudirig debris dearing t root�vtting and to mairrCain the water servi,ye curb sfiop box for operataiiity and at such height as will ensure#hat it rernains ahove the finishe grade of the land or property. {Reif 638,1155,1191�