Meter Swap .
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Request Number: 16593
Public Works Division
;�,, Service Request
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Proble�Ad�iress: 39 71th�lY�ay Requested By: Allan Hoffer
Depart�nt: WATER Address: No address provided
Proble�ue; INSTALL AMR METER Phone Number: 612-715-0330
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;:��cheduledDate: 2 17-08-21 Scheduled'ITme: 11:30:00
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Created by: Wendy Hiatt Date Created: 2017-08-07
ACTION TAKEN:
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�'��,�; Submitter Has Been
Status: 1n Progress ',, �"
Co�acted �
Date Completed: Q_��,.., t� Completed by: (��
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�/''�� hereby asxthorize the�ity af Fr9dtey andJor its emp(ayees to do what is neaessary tc
re�lac2 the r�rater rrietee. 1 aaraderstand Ctsat the�roperty o4vner is 9iable for�e mrater line from the�nain Lo the premise and ait irfter6ar
;olur�abing. {Per�oty�ode 40�.�6) I aiso hold the Cit�y of Frsdley and�ts employees iaarmless for arry daea�ages that may occur while doing thi:
oper�ation. �his Lo�nclude,�aut not limited�o valves,piping,waBts,f�oors�r the curb stop box and secvice 9ine. in undeestand 3 arn aiso a�equq
ta a97tain a permifi pr6or to any warfc,if necessary.
FfN.�Ai.MET'ER READIMG{oid rtie#erj � � � 8�� �
6Vame:�L�(�l.l�l 4 1�\Q"C.r Addness � �
Phoafe 4Yumber �V 1� —' ` � " V (� ��_ `p2, 1 -^ ��
� Signature -r—��
��..�� Witness Signature ,
OL� ME�'EIR# _ 1 v L. v �,� � �
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FRiDLEV�9TY Cf�DE
Li"�l'1r a c�Q�v�.�fV Q8�Cle s�vat�Yt r�A�i��a ruwD.7tVr�MI'+Y.7crv�r�i ,
A�N�lN9St'RATION
��ef Ord No 113y 464,565,56�,624,638,,662,922,98$, 114�4,1]56,119�j
402.5 FERMIT fEE
� Prior to�onstructing ar repair�f arry water af sewer iine connecting the existing municipat system and any hause or buiiding for which the
apptication is rnade,the owrnsr ar corrd�ctor shall be required to obtain a permit for�uch connection,and shall pay a permit fee as provided ir
�hapt�r 11 of fih�s�ode. Af#er sucfi connecCion has�een made,the Water and Sewer Departmerrt shalf be notified. It shall!�e unlaurfui to crnn
any connecting line urrti!an+nspection has been made and such connection and the work incident thereto has t�eert approved by the Crty as a
proper and suitabte connectiort.
4U2.06 3tEPAiRS A�ID tUTAiN'�PIANC�TO CONNECTIQN
Atter the initiai connection has been made to the water service curb stop tavx or the sewer iead at the preperty line or a rrater service tead has
been extended to fihe property line for connection,the applicarit,owner,or occuparrt or user of suc(�premises shall be iiable far ait repairs
required to any water line and sewer lines necessary far connection�the premises from the main to#he premises. if the property oarner
requests+�nairnenance senrice ar repairs be performed by the City,the property owrter shall be charged for the costs of the mairitenance andJa
repairs,including necessary street repairs at a rate set annua{{y by an administrative�oiiry. It shatl 6e the responsibility of the appiicarrt,
owne�,occupan�t or user to perform standars!mairrtenance af the sewer service line ftom the premises to the main indudtng debris dearing or
root�tting and�o mairrtain tl�e mrater service curb stop box for aperabitity and at such height as wilt ensure that it remains above the�inished
grade of the(and ar propert�. (Ref 638,11Sfi,1191)
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