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Meter Swap � Request Number: 15935 4 PU�1C WOt'kS DIV1SlOII Service Request Problem Address: 540 Ironton St Requested By: Edward Department: WATER Address: No address�ovided Problem/Issne:° INSTAL.L AMR ME1ER Phone Number: 763-772-7711 Scheduled Date: 2017-06-1 ScLednled 1lme: 01:00:00 � � . ACrION NEEDED: Created by: Wendy Hiatt Date Created: 2017-06-12 AC7ION TAI�N: l �,, �� I � ���-_.._.______._.____ __�___ Status: In Progress Snbmitter Has Been �.., Contacted Date Completed: Completed by: � �.,-- 13_ l`7 7- �O'�' � City off Eritl9ey ��g '_�//�1� r �� Water Departm�n� ' +b431 l�rtiversity Averatae IVE �-{,,( ,!�/��.._ � Fr6dley,MN 55432 '� �� � 763-5T2-3566 !/'Ne hereby authorize the Clty of Frid(ey and/oc its employees tc do wfiat is necessary to replace the water me#er. t understand tha2 the�ro�oerty owner is liable for the water tine from the mairs to the premise and ail iriterior ptumbing. (Per�ity code 402A6) 1 alsa hold the City of Fridtey and�ts employees haemtess for any damages that�nay occur while doi�g th�s operation. 3fiis to indude,but not limited to vatves,piping,waHs,floors or the cur6 stop box and senrice line. {n understand 1 am also requirf to obtain a permit prior ta any wortc,if necessary. FINA!METER REAA[NG(old meter)__� / �C..)� L l4 Name• _ �1��� Address _V 4 / hi�Y1 �f Q..��1Z--�� D� _���� Phone Number 1 �✓ �� �, � �.-. �Signature Witness5igrtature _ L�--�'� - OLD METER# �C� ��O 14 OLD READING �� �� � �v NEW METfR# �������� NEN/READlNG V E�-r# �l 222 �-{Zp�c, FitIDLEY CtTY COQE CHAPTER 402.WATER,STORM WATER AND SANiTARY SEWER �1DMINISTRAT{ON (itef Ort!No 113,464,565,566,629,638,662,922,988,1144,1156,1191) 402.5 PERMIT FEE Prior to constructi�g or repair o{any water of sewer line connecting the exssting municipal system and any house or buitding for which the application is made,the owaer of cor�tractor s�raH be required to obtain a permit for such connection,and shall pay a permit fee as provided in Chapter 11 of this Code. After such connection has been made,the Water and Sewer Departmertt shall be notified. it sha{I be unlawful io cover any connecting line urrtif an inspeetion has been made and such connection and the wortc incident thereto has been approved by the Cty as a proper and suitable connection. 402.06 REPAIRS AND MAINTENANCE TO CQPlNECT{a1H After tfie initial connectiort has been made to the wat�serbice curb stop boK or the sewer iead at the property line or a water senrice tead has been extended to the property line for connection,the applicar�t,owner,4r occuparrt or user of such premises shaU be liable for all repairs required to any water liae and sewer lines necessary#or connection of the p�emises from the main to tfie premises. ff#he propertY oarner requests mairnenance service or repairs be performed by the City,the property owner shail be charged for the casts of the maintenance and/or repairs,inctuding necessary street reErairs at a rate set a�nually by an administrafive policy. it shalt be the responsibiliry aE the appiicarrt, owner,occupaat or user to perform standard mairrtenance of the sewer servsce line from the premises to the main including debris dearing o� root cutting and to mairrtain the water senrice ctirb sEop box for operabi(ifij and at such heigfrt as will ensure that it remains above#he tinished grade af tfie(and or property. {Ref 638,1156,1191) Request Number: 7578 Public Works Division Service Request ProblemAddress: 540 Ironton St Requested By: Gladisann Wood Department: WAlER Address: No address provided Problemllssue: Phone Number: 763-772-3390 Scheduled Date: $cheduled Time: ACTION NEEDED: Frozen water service , Created by: Wendy Hiatt Date Created: 2014-03-03 ACTION TAKEN: ., — _.........................................::..............._............_�.....�..�...��......:.�_�.N.�......._�..._1.-0�......-�..�........�......�................................ ................._..._...................................._...............__......._ .....................................................:..................... .�..ti....�........._�.....�-::�...................�_�.�_�.-......._�-z-�.._�.��...................................._.........:.............................................__..___............. .......................................................................................................................................................................:......................................................................................................................................................................_..................._.........._._..__............................_ _.............................................................................................................................................................................................................................................................................................._............................_.....................__...................................._............._.. ....................................................................................................................................................................................._......._..........................................._...................................................................................................._................._...._....._........._.._.__............_ ........................................................................................................................................................................................................................................................................................................................�.._..................._..........................................._........................_ Sta#us: In Progress Resident Contacted ❑ Date Compieted: Completed by: _ l, � ��� I �