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Meter Swap �o� - ��� 5�0 - or . ' Request Number: 12535 Public Works Division .� � �� � Se�vice Req�st S L Problem Address: ?650 Arthur St Requested By: Linda J�nbik Departme�t: WATER Address: No address pmvided Problero/Issne: TiJRN WA1ER ON/OFF Phone N�umber: 763-439-9522 Schednled 2016-12-22 Sc6edaled 1ime: 10:00:Of1 � �� AC"IION NEEDED:11gn off water.Leaving for winter.'**•BILL'*�* CreAted by: Wendy Hi�t Date Created: 2016-12 21 AC110N TAi�N: Cc v�d I'101� J�v�" L✓q.Ttr ��• �G h b S'�'0 1't0'f' �v�/t�h �, �J3� �� � ���� �11Nv �' �i �� {� � �? �-°1� Sv C {.�.n��-d o `� n�f��- A ����� hec� # �l � I t �3?D �f . � � _ E�.-r�- �� $� �, oa Status: 1n Progress 3ubmitter Hae Been � Cont�ted Date Completed Completed by: �a�a3 -�� Gity of Fridley Watex Department . 6431 University Avenue NE * Fridley MN 55432 - (763) 572-3561 Uwe hereby authoiize the City of Friclley andlor its employees to do what is necessary to shut affthe water at tb.e cuzb stop box. I understa�d that the property owner is liable for the water line from the main to the premise. (P�r City code 402.0� I also hold�.e City af Friclley andlor its employees harmless for any dam.ages that may occur while doing t�us Qperation. Tbis to include,but not limited ta, sod,Yard,landscapi.ng,trees,shru.bs,driveways,sidewalks or the curb stop box and serv�ice line. �un.derstand I am alsa required ta obtain a permit prior to aniy wor� Nam.e: Address: � Phone Num.ber: Data: �igna.tuze: V�itness Signahzre: FR�LEY CITY CODE C:H�PTER 402.WATER,STORM WATER AND SANTI`ARY SEWER ADNIINISTRATIOi+t (Ref Ord No 113,464,565,566,629,638,fi62,922,988,1144,1156,I391) 402.05. FERIVIlT F£E Prior tti constructim�or repair of any water o�sewer iine connecting the existing municipal system and�y house or build'nng for which the applicaii.on is made,the owner ar co�actor shall be required to obtam a pe�n.it for such aannectian,aud shatI.pay a.permit fee as provided ia Chapter 11 of this Cad�. After such connection has bee,n.made,#he Water and Se.wer Dep�6nent shall be notified. It sba11 be unia�rfi31 to caver any connectm.g line uutil an inspecta.on has been made aud such coimectian.�.d the w�rrk mcident ther�to has been agprQved by the Citp as a proper arn�suitabl�catmeciian. 402.06. REPAIlLS AND R�INT�lYANCE TO CONNECTION A$ar the initial conn.ection�ias been made to the�service curb stap box or the sew�r lead at�e pmperty line or a wat�r service or sewer lead has been extended to the prope�ty lme for c�.ection,the applicant,owner,or-da,e occupant or user of snch pxemises shall be liable foz a11 repaits req�red to a�y water line aud any sewer lin.es necessaiy far cannectian of the premises from i�e main to t$e pramises. If the pmperty owner requests maintenan.ce services or repairs be per,�'ormed by the City,the property owner shall be charged for the costs of the main.tenan.ce and/or repairs,in.eluding anY nacessazy str�et rePa�,at a rate set azm.ually by au admini�tra.tive policy. It shall be the respons�bility of t�agplic�qwner,occapant or user ta`perform standard ma�tenance of the sewer service Ime fraui t�.e pre�ises to the mmn includ'mg delmis clearing or roat cndtin.g an.d tv main.tain the wate�'servi.ce c�rb stop ba�for aperabiiily and.at sach height as w71 ensute that rt*Pm�in. abov�e the finished grade ofthe land or properip: (Re�638,115b,1191j