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Meter Swap Request Number: 17164 . r��wo�n;��on • Service Request Problem Address: 7600 Lakeside I�d Requested By: Lyiu�Grigor Department: WATER A�ddres:: No address pro�ded Problem/Iss�: 1NS?ALL AMI�ME1�R Pl�oae Namber: 763-78U-4567 Sckeduisd 2U17-11-03 Sc�duledllme: 09:00:00 r� . AC�ION 1�ED��a�t�se�pY�ber c�ct�e v�lwe.�ror�ha�'i�MIE. Creatad by: V�leedy Hi�EE Da�e Cre�tei: 2�1 T-10-30 ACiION�'.4�El�i: ��,.,.� c,�_�er �„� l,.w,Cti:� Grli� JnS���u1 Ct•• /qy17/� St�ua: In Progees� Snbmittar�Been r, Ca�tacted Date Cee��t�: Campleted by: �/-3 -� � � :� City of Fridley Water DeparLm.ent 6431 University Avenue NE Fridley MN 55432 � (763) 572-3561 Uwe hereby authorize the City of Fridley and/or its employees to do what is necessary to shut off the water at the c�b stop box. I understa�.d that the progezty owner is liable for the water lin.e from the main to the premise. (Per City code 402.0� I al.so hold the City of Fridley and/or its employees harniless for any damages that may occur while doing this operation. Thi.s to include,but nat limited to, sod,yard,landscaping,trees, shna.bs,driveways,sidewalks or the curb stap box and service line. �undersfan.d I am also required to obtain a pemsit prior to any wark. Name: Address: Phone Num.ber: Date: Signa.ture: Witness Signa�ure: FR]:D�L�Y CITY CODE ��APTER.402.'WATER,STORM WATER AND 5ANTTARY SEWIIt AUIVIINISTRATION (Ref OrdNo 123,464,565,566,629,63$,662,922,9&8,1144,1156,1191} 4U2.05. PERMTT FTE Prior 1�constructmg or repai�of any water o�sewer iine conneccling the existmg municipat system and any house or building for which the applicaii.on is made,the owner or com.tractar shall be reqaired to obtam a peamit for such connactian,and shaIl.pay a.permit fee as provided in Chapter 11 of this Code. Af�et snch connecti.on has been made,the Water an.d S�wer Departm.ent shatl be notified. It shall be nnla�aeful to cover any cannectmg line until an inspection has been ma.de and such conueclion and the worl€incide�t there#o has been approved by the City as a pmper�.�smta�ble cozmection. 402.06. REPATRS AND MAINTEI+TANCE Tt7 CONNECT'I�N Af�ar the initial connection has been made to the water service curb stap b�x or the sewcr lead at the properly]ine or a water service or sewer lead has been extended.to the FioP�Y line fnr camnectirnu,the applicant,owner,or the occupant or user of such pre�mises sha)1 be liable for ail repans requaed to may rvater lin:e and any sewer lines necessary for connectian of the premises from the main to#1�e�emises. If the property owner requests maintenan.ce services or repairs T�e per.foamed by the City,the pr�periy owner sha.11 be charged for the costs of the main.tenance an.d/or repairs,inclnd'mg any necessary sti�eet repairs,at a rate set ann.ually by an admmistrative policy. It shall be the responsiblity of the applic��wner,occupant or user to`perform standazd maintenance of the sewer service lin.e fram i�e premises to t�e mana in,rluding debxis clearing ar roat cud�ing and to ma.intam the water service c�b stop b�g for operab�.1'tty go.d.at such height as w71 ensute that it reanai��abave the finished grac�e of the land or property: (Ref 538,1156,I191j 'r*f3'G��('#�1r°;,��'�tC"�.ftR�1�f1't; `��'��',:t�'3E°��.'il'j�?�':�i?d�if'1?i:I`w�.a'�� ��Y7���8"�,a���lii� ��43";3 �'v�i�-��7-��E�3'�7 �'��4 7e��^q 3a:a•�#�t�si�.w'�e G;��r a=rtd�eP,aess#��a-irs=_rMp��pses���r�-;a�is r �ba�a�r��a����`�.f a�e�r, 1 u�rc�ers�s�sf.���;�'�e aPnrca�r�::���r�rr is faa�3e'rnr:�re�.w�s lsa�e fr��a�se rs�aies�a'��a�satssz�r+d a!�i} saa�am?�i�g, {:�A�Cc����le�G'f�.s�s'a) ?31s�����e G�^x•�'�wi�#seeP��a��i�s�rn�9rn��s��'taaTr;de���ars+{�aamra��s'�a�t��za����saa�•ar��€ ���r��s�o 1';�as'�iass�eae;4e,�au��stTfi!'¢m,��!��pai�r�s,�$�7�aat;��+ra��s,1�a��as arc(�e�za�:,��,s��c��rz�t ser^rf�lo�s� tra.,tc�ct��ar3+ti i�rs �3�sn.��e�rPaiS:aa^i�a����3+{��Cts��ifr,4e+.�s,a�°,. 310-S`y3�z"" ;�r�.�.,���������d���; �7G� y?U �'j-� 5(0�'c� �BtTS�' t�a��S /�tilJ ��,� a i�r �� . .'��'3O8l2'i�S`tiY43�'i�Y' .1�� _ /,` 7"_/ � J ��5t�3i".+dT'? 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