Meter Swap CYCLE 3 ROUTE Cycle
LMR METER NUMBER ACCT NUMBER SEQUENCE#
�7448�0 17388032 301=#�9900-03 28095
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ATER ETER READING DATE READ
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ENTER ALL MBEI�S INCLUDING ZERO-"
FROM ANTONIO& MARIA ZARAGO �
7688 BACON DR NE ��
FRIDLEY, MN 55432-3675 �� �
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SERVICE ADDRESS: 7688 BACON DR �i � �
RESPOND BY: 02/10/2017
- ` � Request Number: 13223
Public Works Division /
Service Request
Problem Address: 7688 Bacon Dr Requested By: Antonio
Department: WATER Address: No address provided
Problem/Issue: INSTALL AMR METER Phone Number: 612-516-3832
Scheduled Date: 2017-02-06 ,� Scheduled'ISme: 08:30:00
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ACTION NEEDED:
Created by: Wendy Hiatt Date Created: 2017-02-02
ACTION TAI�N:
�-v�s� C�p� �-1/�L�'�_
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Status: In Progress Submitter Has Been r
Contacted
Date Completed:�� �Q—��� Completed by:�r r�,/,
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�431 iDeaiv�rsitvf/�1�e�c�e 9V� S � a a g�g
�r6e1leya lU1� 554.32
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,4'"°� 4 hereby authorize the�Lity�f Fridley and/or its empioyees to aio what 6s necessary
, re{slace+the water sneter. 1�nderstand td�at�he propea�ty owner is diabie for the water line from the main to the premise and all irrterior
�lumbing. (per City coaie 402.06� i also itold the Cottj of Fridiey and/'its emplmyees harmless for any�lamages that rnay�ccur rrhile sloing th
operation. Tfiis to 9nctude,but raoit Iim�ted+to valves,piping,wails,floocs or the curb stop box and senrice line. In understand I am also req�
to oiatain a permit pr'sor to any aror4c,�f necessary.
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f�iaene: � �1'��V1��i � � �}�
Address / V � aCOI�- a�,
Phone Wumi�er�l 2- ti ��Q ' ?J' � � �Date �✓ `"e — � (,
Signature Witness Signature 1-
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402.5 PERM6T FEE
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Prior to constructing or fepair of any water af sewer lir�e connecting the e � iich#he
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apptication is made,the owner or corrtractor sha(!be required to obtain a provided!
Chapter 9.1 of this Code. After such connection has been made,tfie bVate �� �1� nrfui to co�
any connecting(ine untit an inspection has been snade and such connectic e City as a
proper and suitabte connectiora.
402.05 REPAlRS�1RfD�VtA1NTENANCE TO CONNECTION
After the initial connection has been made to#he water service curb stop ce tead ha:
been Qxtended to fihe property line for connection,the appiicanfi,owner,� repairs
required ko any water line and sewer li�es necessary#or connection of the owner
requests mairi#enance service or repairs be performed by the City,the prc ance and/�
repairs,including ne�essary street repairs at a rate set annuaity by an adrr icant
owner,�occupant or user to perform standard maintenance of the sewer s� clearing or
root cutting and to rr�aintain the water service curb stop box for operabilit he finishec
grade of xhe land or property. �Ref 638,1155,1191)