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Meter Swap Request Number: 13252 Public works Division Service Req��est Problem Addresa: 1525 75th A�e Requested By: Bridget Department: WA1ER Address: No ad�ess provided Problem/Isaue: INSTAL,I,AMR METER Phone Number. 612-387-3312 Sciieduled Date: 2017-02-09 Schednled 1lme: 11:011:04 �� ACIION NEEDED: CreAted by; We�y Hiatt Date Cre�e�: 201�-02-03 AC110N TAI�N• l � < Statua: In Progress Sabmitter A�Been r Co�acted DAte Com�eted: �,_ � � I'�j Completed by: E � �1 ��.�., ----- —_�-- _ .w�..o�. 6431�9ndv�a^si#'r,el�r��ue�V� � Fric{8ey,Nt1l�! 554.32 ,s�-s�z-���� � �; � _�C � �.(�(.: -L_3 � �/'A°e hereby authorize the�ifiy�f FridJey and/or its empioyees to do what ds necessary replace#he wa�er rneter. I�nderstand that�he�ropea�ty ownee�s�iable tor the yvater line from the main to the premise and ali interior �laerrrbing. {Per City coale 402.�06j 0 also hold the Cii�/a7f Fsidley and�ts employees harmless for eoy damages that may occur�rhile doing th o`ver,ation. This�0 9nclude,but not!im'rted to valves,piping,wails,fl,00vs or the curb stop i�ox anc!seni�ce iir�e. In understand 9 am alsa req+ to o9atain a permit prsor�o arry a�or�c,if�ecessary- S(� �- ��� F9t1[AL l41ETER READMiG(o!d meterj � ✓ � ��� Name: 'c�r'(�Q�j� Address ���� 7� �-t f'e-- Phone Wumber�.�i�Z.'" �8�` ���� Date �`" ` J �� Sigttature r' Witness Signature o�Q,���� _ �, ��8� �� o���o►�G ���g ti� NEW METER#__` J � 1� � S� 1 NEVF/READlIVG v ���� � 1 � � to � � L . � . � FRIDLEY CiTY CODE CHAPTER 402.WATER,STORM WATER�WD SANtTAttY SEWER ADMI4YISTRATION (Ref Ord No 113,�64,565,�66,629,638,662,922,958,1144,II56,1191) 4Q2.5 PERfiA1T FEE Prior to constructing or fepair of ar�y water of sewer line connecting the existing muniapat system and any hause os buldir�g for rrhich t6e �pptication is made,the owner or wrrtractor shall be required to obtain a permit�or such connectioa,and shali pay a permitfiee as prflvided; Chapter 11 of this Code. After such connection has been rnade,fihe Water and Sewer DeQarfiment shall be notified. R shail be uniawFul to crn aray connecting iine urit7 an inspection has been made and such connection and the wor�c inciderrt thereto has been approved�y the City as a proper and suitable connection. 402.05 REPi4iRS ARiD llifl�►11VTEIupyYCE TO CONNEC770N After the inifiaaf connection has been made to the water sersrice curb stop box or the sewer lead at the property tlne or a wabes seraice lead ha: lseen extended to fifie property iine for connection,the applicarrt,owner,or occupant oir user aF such premises shati be ifabie f�ap sepa�ss required�a any water iine and sewer lines necessary for connection of the premises from the main to the premises. tf ttte pro�ety o�rasr requests mairr#enance serxice or repairs be perFomred byr the C'ity,the property owner shall be charged for the costs o#the mairrtenancQ and/� repairs,inciud�ng necessary street repairs at a rate set annuaify by an administrative po6ry, it shal!be the sesponsbility of the appGcarrt, owner,occupant ar user to perform standard mairnenance of the sewer service line from the premises to the main induding debrFs dearing or root sutCing and to mairrtain the water service curb stop box for operability and at such height as will ensure that it remairis above the finishec grade of the land or property_ (Ref 638,1156,1191j R�+qUest fc�r Ser� R�ort Gity vf Fri+dley ��,�r�: s�-��-asa� ���: �nrzo�z Requ� T�e� sewe�b�k�c�k�r n�in E�e�By: �F�y F��t �artme�: Sewer Cati�e�Narrne: Jcr�Al�c�der Addr�ess� 1�75TH AYE ME Ca�a�k Ptwne: fi12-6G�-t1�D71 �ufed D�te= �r C)wn�: 14catir�n t7��s: Requeat Ueta�a_ Bac�c�_ CF�ac�c(a`t�Man A�tian T�s�n: ' v��;,� �.ct C�.�� � �t�...�� �0�.-<<,,,�,�� -E1�.. �c( � �� c�a��' � � � 7 � �� � � � � � } � , I � I [ I ! � [ t € [ { I ��,�P�►,: , �_ _ fx`'� -_ _._ _ __ __ _._ _ . .. ' �Y�f: _ _ . _ _ _ _ �t(�Ifl���: �28'fi� �• � - I�Z Requ�est fa�r Service R+�por# �ity of Fndl�y r��►�: �-72-aa� t���: ;�z��2 Raquesx T�rpe� Lir�ee dsaned-check Gt7r Main Errtered�y: Vllendy t�att ��r�t: 5evu� t�ize�n N�ne: .J�:l�lexander Ack�eas� 1525 75TH AVE hE a�ic Phor�e: G12-�71 �ul�d Date= Pru�aea#y(��r: Locakion C3eta�s: War�s tc�knorr�he�n!i�be ' ft�r F�quest Details= Had aarc�at�last rrght_ Ch�ck n�n da�age as c�trad�rtrskd hgn��+as in c#y fc�mvts_ 5ne. f tc�fd t�n 1 wrat�lcJ have��t�m afk�,v m�rvas�he�ked. Actian 7�C,en: '�c-c�a�� � �Nr� ���t���. l (`���tv���t�. \S ��'� . � ` (� ��Lu�c� ��� ht�^c��ov.�.?�` "�� ��L�d�G� �T" ��c3"`�—� ' � , . �:.; ��.,'�c� ����— �-�--��� �`�— �� � r� ��`'�����. � .� (�f, orv�������� . �- �i�2�t i(��. ��ra� ►�� ��� "`L`� .-�.�� �"c� �+t�S �c�. �-�,rc�� o�J t�� �r.�.c,�c.t—`�-��i�5 �,^� � -� ��t1.-�,�����t� � ���-�-��� � �`" ��'� �"ri -�+C�r. � � � . f ��� ���CC� ��1t'� \Q41+5�TCnI� . � � � i i Respc�r��e P�: �" D _ `���-�'L. 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