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Request Number: 16562
Public Works Division
Service Request
Problem Addresa: 7030 Hickory Dr Requested By: Daniel Murphy
Department: WATER Addreas: No address�xovided
Problem/Issue: INSTALL AMR METER Phone Number: 763-656-9861
Scheduted Dat : 2017-08- Scheduled 1lme: 10:00:00
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ACTION NEEDED:
Created by: Beth Kondrick Dnte.Created: 2017-08-02
ACTTON TAI�N:
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Status: In Progress Snbmitter Has Been r
Co�acted
Date Completed: Completed by:
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���""e herab�authorize the City of Fridtey artdJor rts empioyees to do what 3s necessar�#c
reglace tfse water met�r. !�anderstand tteat the�roperty o�arne�is 9ia61e for r.tae v�vater line from the�main to the premise and aii�rrteeior
�iuraabing. �Per�ity�ode 40Z.06� !also�oid the S"aty of FraclPey andfits employees harmless fmr arty darr�ages chat rnay oCcur whiie doirtg Lhi;
ope+-atiom. This to incfude,4sut not iimited to valves,pipin�avatts,floors or tjhe curb stop box and senrice 9ine. in understand 1 am also�aqui
to ofstain a q�errrsit�sraor to aray wortc,if necessary.
FlNPU.ME'S'ER READIAIG( id meterj _ � 1����
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� SPgnat�re Witness Signature
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FRiDIEY C{TY CODE
CHA�CEli�OZ.WATEl�,ST�RM WAl"ER AND SAN4TAR°l SEINER
A�fll6i[�i95fRATtON
�Re#Oed No 12.3,464,565,5�6,fi29,538,5fe2,922,988, 1144,1156,1191�
402.5 PE6iMIT FEE
� Prior to�onstructing ar re�oair af arry wate�of sewer line cannecting the existing rnunicipal system and arry house or Iwi(ding�for wh�ch the
application is made,tfie owner�or contractor shall be required to obeain a pecmit for such conraection,and sha{i pay a permit fee as provided ir
Chapt�r 11 of ihis Code. After such co�nection has heen made,the 1Nater and Sewec Departmerrt shaN be notified. It shaN be vnlawfut to cov�
any connecting 1i�e unti!an inspection has been made and such connection and the rvork inciderrt thereto has been approved by ti�re City as a
proper and suitabte con�ectio�.
402.06 tiEPl�1(RS A►�tD MAiN"�"EAIANCE TO�ORlNECTIORI
After t�e initiai s:onnectiort has been rrsade to the water ser'vice curta stop 1�ox or the seuver tead at tfie property line or a water seroice lead Has
beert extended to the,pro�aerty line for sonnection,the app{icant,rnnrner,or occuparit or user of such premises shall he iiabte for att repairs
required to any water line and sewer Iines necessary for cortnection o�F the premises#rom the main to the premises. �f the property owner
requests mairnenance serv�ce or repairs be perFarmed by the Crry,the property owner shall be cf�arged for the c�ts af the mairitenance andjo
repairs,including necessary street repairs et a rate set annual(y�y an administrative poiicy. lt sha(I he the responsibility of the applicarit,
owner,occuparnt ar user io perform standard mairrtenartce of the sewer service line from the premises to the mairt induding debris dearing or
rvot�stting and to maintain the water service curb stap 6ox for operahility and at such height as wilf ensure thafi it remains abwe the finished
grade of the tand or property. (Ref�38,9.156r 1191)