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Meter Swap Request Number: 15826 Public Works Division Service Request Problem Address: 527 Glencoe St Requested By: Da�c Mor�an Department: WATER Addresa: No address provicled Problem/Issue: INSTALL AMR METER Phone Number: 763-780-54�5 Scheduled Date: 2017-06-19 �'( Schednled 1lme: 07:OO:QO . � , ACTION NEEDED: Crented by: Wendy Hiait Date Cres�ed: 2017-06-07 ACTION TAi�N: _..���:�-.�._..._._..�-...�.. .��__...............__........__ ._...._.__.� ._ Status: In Progress Submitter Has Been r Contscted Date Completed: Completed by: _ � � �--� q�l`� � � �:: ., �6ty ot Fr6dle� " � �` �� � �� �"" ` llVater Depa��reent �jJ ,� 7�� b431 llniv�rsity Averaue NE i� ' FrBd[ey➢MN 55432 753-572-3566 �J''�� hereby authoeize the C'N,y of�ridtey and/or its employees to do what is necessary to reptace the arater meter, t understand that the pro�erty owner is liable for the water line from the anain to the premise and a!i iMerior �slumb�ng. (Per C'�ty code 8�2.06) 1 also hold tfie City of Fridfey andrts employees harmless for any damages that may occur rvhile doing this operation. This to indude,but not limited to vaives,p�ping,walls,floors or the curb stap hoK and service line. in understand t am also requir� to olrtain a permit prior to any work,if necessary. FIN;AI METER l2E�4DIN6(otd meter) ��� � ��� Name: Address��1 �h�L� Phone 1Yumber L 1C��f l ��'1.��� �`1�''' �� ��' Witness Signature OLD METER# ��`( �j 1C�� OLD READIIVG _� � t�O NfW NfETER# "�'�Q� �=-J �1 NEW REA�lNG� E9�T# � I�� (� � t - 1� �R(DLEY ClTY CODE CHAPTER 402.WATER,STORM WATER RND SANRARY SEWER ADMiNISTRATiON � tRef Ord Na 113,464,565,566,629,638,562,922,988,i144,1156,1191) 402.5 PERMlT FEE Prior to constructing or repair of any water of sewer line c,onrsecting the existing municipa!system and arry house or buitding for which the appiication is made,#he owner or corrtractor shait be required to obtain a permit for such connection,and shall pay a permi#fee as provided in Chapter 11 of this Code. After sucfi connection 6as been made,the Water and Sewer Departmerrt shali be notified. It shall be un(aurfu{to cover arry connetting line urrtit an inspection has been made and such connection and the wor(c incide�rt t6ereto has been approved by#he Ctty as a proper and suitabte connection. 402.06 liEPA1RS AND MAIN7ENANCE TO COPtWECTtON After the initial connectiort has been made to the water service curb stop box or the sewer iead at the property line or a water service lead has been 2xtended to the property fine for r.onnection,the applicarrt,owner,or occuparrt ar user of such premises shall be 4iable for alf repairs required to any water line and sewer fines necessary#or connection o�f the premises from the main to the premises. If the property owner requests maintenance service or repairs be performed 6y the City,the property owner shalf be charged for the costs cf the maisatenance and/or repairs,including necessary s#reet repairs at a rate set annually by an admirtistrative po{ity. 1t shall be the responsbility aFthe app4icarrt, owner,occupant or user to perForm standard mairrtenance of the sewer service iine from the premises to the main including debris deacing o� root cutting and to mairrCain the watec service curb stop box for operability and at such height as wiii ensure that it remains above the finished grade af the tand or property. (Ref 638,1156,1191j